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Philadelphia Indemnity Insurance Company <br />One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004 <br />COMMON POLICY DECLARATIONS <br />Policy Number: PHPK267695 <br />Named Insured and Mailing Address: <br />HOTLINE OF SOUTHERN CALIFORNIA <br />PO# 32 <br />LOS ALAMITOS, CA 90720 <br />Policy Period From: 11/26/2007 To: 11/26/2008 <br />Business Description: Non Profit Organization <br />Producer. 17921 <br />S.D. HINES INSURANCE SERVICES, INC <br />3580 E. PACIFIC COAST HIGHWAY, #8 <br />LONG BEACH, CA, 90804 <br />at 12:01 A.M. Standard Time at your mailing <br />address shown above. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br />INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br />PREMIUM <br />Commercial Property Coverage Part 145.00 <br />Commercial General Liability Coverage Part 173.00 <br />Commercial Crime Coverage Part <br />Commercial Inland Marine Coverage Part <br />Commercial Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />Professional Liability <br />Total Includes Federal Terrorism Risk Insurance Act Coverage <br />2,370.00 <br />Total $ 2,688.00 <br />8.00 <br />FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br />Refer To Forms Schedule <br />CPD- PIIC (01/07) <br />and Endorsements if shown in <br />Countersignature Date Authorized Representative <br />