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StateFarm State Farm Mutual Automobile Insurance Company <br />PO Box 853922 <br />Richardson, TX 75085-3922 <br />00534 <br />NAMED INSURED 000s9s Dose 75-7501-4 P A <br />NANCY K COINC <br />DNA THE COUNSELING <br />SELILI <br />NG TEAM <br />INTERNATIONAL <br />PO BOX 10427 <br />5N BERNRDNII CA 92423-0427 <br />86698-4-P MATCH 00534 MUTL VOL <br />DECLARATIO <br />NS <br />PAGE 2 OF 2 <br />POLICY NUMBER 4414187-F2475W <br />POLICY PERIOD OCT 31 2019to JUN 24 2020 <br />12:01 A.M. Standard Time <br />EXCEPTIONS, POLICY BOOKLET & E <br />DNDOppRSEMENTS (See policy booklet & individual endorsements for coverage details.) i <br />WITHYOUR POLICY ANDSppINYSENDORS1EM€€NTSLTHATIAPPLY, INCLUDINGLTHOSEOISSUED TO YOU <br />ANo5S0B5ept1ENT RENEWAL N TICE <br />OOgj ryry60pp28BU ADDITIONAL INSURED -THE ORGANIZATIONAL NETWORK, PO BOX 10427, SN <br />02R6028BUCAOOI4IONAL42INSURED-CITY OF REDLANDS ATTN: RISH M ANAGEMENT, PO <br />BOOgX 3pp005 R€DLANDSgCA 92373-1505. ��,,qq UU <br />AGTS0EMPL ANO VOLO.HNTEERSUATTNCIIRISX�MNGTR0112220ACAOIA PKWY�EOARDENIGROVE CA <br />0486DAE8 DDITIONAL INSURED -RIVERSIDE CITY POLICE, 4102 ORANGE ST, <br />nywr6c1nC PA a9Cn1—OC71 <br />COUNTY FIRE AUTHORITY ISAOA, 1 FIRE y <br />„ UhtIUEHS, LMP49Y.t:kS AND AGENTS777 N F STREET, SN BERNRONO"CA <br />'ITIONAL INSURED -CITY OF RIVERSIDE IT'S OFFICERS & EMPLOYEES, <br />DITIONALIOINSURED�COUNTYOOF ORANGE ISAOA, 1055 N MAIN ST, SANTA <br />-3601. <br />DITJONAL INSURED -BEST BASIN MUNICIPAL WATER DISTRICT ISAOA, <br />BRIT ONAIT.EINSUREDATHRENCOUNTY7DISTRICTS OF SAN BERNARDINO, ISAOA <br />)IITIONA2 <br />5 <br />INSURED--CCITTYMOF4CO7 <br />ONA2 <br />O -101 B AVE, CORONADO CA <br />HTIONAL INSURED -CITY OF HUNTINGTON BEACH IT'S OFFICER'S, ISAOA, <br />ITIONALTINSUREDACAL STATE2POLYTECHNIC UNIV, POMONA, 3801 W <br />'0M0NA CA 91768-255 <br />)ITIONAL_INSUREP-CITY OF.SAN_BERNARDINO,.IT'S OFFICERS'. ISAOA <br />HI HUI SPRINGS POLICE DEPARTMENT, 65900 <br />240. <br />OFELSEGUNDO OFFICERS, OFFICIALS, <br />CCSpOpP CARSONUAND ISAOA24ATTENTION PURCHASING <br />t�1TY9OF4VENTURA C/O EXIGIS INSUR <br />NEW YORK NY 10163-4668. <br />OF SANTA ANA, ISAOA, 20 CIVIC CENTER PLZ <br />CITY OF ONTARIO, 303 E B ST, ONTARIO CA <br />60SOGF BUSINESSFNAMEDDINSUREDUNDER THE LIABILITY COVERAGE. <br />(6g(gp12BAC 49CB USE 4AMENOATDRYEENDORSEMENTRSONAL VEHICLE SHARING. <br />SQ388L USENQP NON -OWNED CARS-COMPREHENSIVEAR$- LIABILITY D MEDCOVERAGE ICAL MAND SCOLLISION <br />S <br />COVERAGE; NANCY K BOHL•V 30 000 LIMIT. <br />CITY OF CARSONAISAOAORCIITYSOF SANTA ANANIDSAOAHCITYAOF RIVER IDE. FOR:: <br />Agent: SKALA INSURANCE AGENCY INC <br />Telephone: (909)883-8861 -) jiqI C\Y�—J <br />7 \ <br />06814107236 Prepared DEC 042019 7501-A48 <br />15'WN C42 %2002 02s, )cIn025.) <br />139%0 10025vd) <br />