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!v!Hr. Ltl, LUU`! I:lbrwi <br />Policy, IVUmber <br />92-CD-8870-3 <br />HK~hi!t~!s !visr 7b141(jUUI~AGE AMENDE~NU. ~i1;22zr~ ~ <br />~ P <br />900 OLDERIVER RD, BAKER ELD CA 93C.301M 6000 <br />A STOCK COMPANY WITH HOME OFFICES r-u ai nnR.~~~r-T~ <br />Named [nsured and Maiting Address <br />MC DONALD, SOUTgR g, p 21150-F780 U <br />DBA ARCHITECTS: MC DONALD, <br />sourAR & pAz <br />3575 LONG BEACH BLVD <br />LONG BEACH CA 90807-3904 <br />BUSINESS POLICY -SPECIAL FORM 3 <br /> <br />ILLINOIS <br />Pvst-its Fdx Note 7671 DataC~~$to p ~ <br />as tt pages ~ <br />To ~~j ~ From <br />A r <br />Co./Dept. - ~~.~ At'bl Co. dci.~s MS <br />Phone is Phone N ~, 9a ,c ~, <br />Faxr ~~• 1a4~• 331 Ftixw 5t.a, ~~~. 3-~vP~ <br />Cov A -Inflation Coverage Index: N/A <br />~- ~ ^• ~~ ^p=~~=~A~ - Ir the POLICY PERtpD is shown as 't2 MONTHS, this oli will be renewed au ` <br />g vet yQtu and tfte Mortgagee%Lie older~wriiten noticerin ccarSpi ante wl~h the pollc provicsiy ~matic <br />p y period. If this policy is terminated, we <br />Policy Period: t 2 Months The policy period begins and ends at t 2:01 am standard time at tneuired b~ law. <br />Effective Date: ' MAR 21 2009 premises location. <br />Expiration Qate: MAR 21 2010 <br />Location of Covered Premises: <br />3575 LONG BEACH BLVD <br />LONG BEACH CA 90807-3904 <br /> <br />~~~~~ aycs a rroperty <br />Section I <br />A Buildings <br />B Business Personal Property <br />C Loss of Income - 12 Months <br />Section II <br />L Business Liability <br />M Medical Payments <br />Products-Completed Operations <br />(PCO) Aggregate <br />General Aggregate (Other <br />Than PC ) <br />Limifs of Insurance <br />Exc 1 uded <br />$ 63 600 <br />~ ACttld~ 055 <br />2,000,p000 <br />Excluded <br />~ 4,000,000 <br />Forms, Options, and Endorsements <br />Special Form 3 <br /> <br />Section II Additional Insured FP-6143 <br /> <br />business Policy Endorsement FE-6609 <br /> <br />Amendatory Endorsement <br />Debris Removal Endorsement FE-6464 <br />FE•6205 <br /> <br />Policy Endorsement FE-6451 <br /> <br />Hired Auto Liability End FE-6506.2 <br /> <br />New Form Attached FE-63i i <br />Continued on Reverse Side of Page <br />Your policy is amended APR 22 2009 <br />ADDITIONAL INSURED ADDED <br />PREMIUM ADJUSTMENT <br />ENbORSEMENT FE-6609 ADDED <br />upancy: O~~ice <br />Deductibles -Section 1 <br />$ 250 Basic <br />In case of loss under this policy, the deducfjble will be <br />applied to each occurrence and will be deducted from the <br />amount of the loss. Other deductibles may appXy -refer to <br />policy. <br />Endorsement Premium <br />Increase <br />Discounts Applied: <br />Renewal Year <br />Years in Business <br />Claim Record <br />~ ~ 36.48 <br />Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR PORICV ' <br />MAY 06 2009 <br />FP-8030.2C g7Ayi, <br />0611993 <br />Your policy consists of this page, any endorsements <br />and the policy form. PLEASE KEEP TIiESE TOGETHER. <br />~,pPROV <br />Laura Stitt Sheedy <br />Assistant City Attorney <br />~~ .~cc ~ ~ ~ rc_, <br />EIS AS TU ruxivl <br />(o t!2 nzb) <br />- j~~ <br />