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STATE FARM GENERAL INSURANCE COMPANY <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS <br />RQ <br />haid153% 75085-3925 <br />Named Insured <br />AT2 M-23-0535-FB2C F N <br />001247 3125 <br />THE FRIDA CINEMA <br />305 E 4TH ST STE 100 <br />SANTA ANA CA 92701-4639 <br />'IIII�II'�'�I�'�"III��I'I�I��'IIIr1�1��111IIrII11�III1'�I�II'Ill <br />Businessowners Policy <br />Policy Number 92 -E6 -S4883 <br />Policy Period Effective Date Expiration Date <br />12 Months DEC 8 2018 DEC 8 2019 <br />The polio period begins and ends at12:01 am standard <br />It at Premises IocaLon. <br />Agent and Mailing Address <br />KEIR JONES <br />5150 E COLORADO ST <br />LONG REACH CA 90814-1837 <br />PHONE: (562) 433-5573 <br />Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and <br />forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in <br />compliance with the policy provisions or as required by law. <br />Entity: Corporation <br />NOTICE: Information concerning changes in your policy language is included. Please call your agent <br />if you have any questions. <br />POLICY PREMIUM <br />Discounts Applied: <br />Renewal Year <br />Years in Business <br />Protective Devices <br />Sprinkler <br />Claim Record <br />$ 1,702.00 <br />Prepared <br />SEP 25 2018 <br />© Capyright State Farm Mutual Automobile Insurance Company, 2008 <br />CMP -4000 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />008434 294 I <br />Continued on Reverse Side of Page <br />N <br />ReUi(3�1 <br />I- L6 <br />Page 1 of 7 <br />530 ffee2(1531-2011 OVUM) <br />