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State Farm Insurance <br />PO Box 2915 <br />Bloomington, IL 61702-2915 <br />CITY OF SANTA ANA, ITS CITY CO <br />ATTN: PWA-WATER RESOURCES <br />220 S DAISY AVE <br />SANTA ANA CA 92703 <br />Amended Declarations <br />:• StateFarm <br />State Farm fire and Casualty Company <br />A stock company with home offices in Bloomington, Illinois <br />Policy number: 95-CP-1-410-0 Effective date: November 13, 2025 <br />Policy period:12 months Expiration date: October 31, 2026 <br />The policy period begins and ends at 12:01 am standard time at the premises location, <br />BUSINESSOWNERS POLICY <br />Automatic renewal - If the State Farm® policy period is shown as 12 months, this policy will be renewed automatically subject to the <br />premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the <br />Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. <br />NAMED INSURED <br />NATHAN T WRIGHT ILLUSTRATION L <br />ENTITY <br />Limited Liability Company <br />POLICY PREMIUM <br />This is not a bill. Jf an amount is due, then a separate statement will be sent prior to the due date. The premiums) shown below are for the policy <br />period and policy characteristics as described in this Declarations. <br />Increase in premium: $77.12 <br />Discounts applied: <br />Automatic Sprinkler Protection <br />Protective Devices <br />Years in Business <br />REASONS FOR DECLARATIONS <br />Business Experience Rating <br />Renewal Discount <br />Enclosed Building or Shopping Center <br />Your policy is amended effective November 13, 2025 due to some recent policy changes you requested. Enclosed is a copy of your <br />new endorsements, if any. <br />Poiicy number: 95-CP-L410-0 <br />© Copyright, State Farm Mutual Automobile Insurance Company, 2008 <br />CMP Dec 3P IA <br />CMP-4000 <br />Page 1 of 5 <br />1009482 2014 153090 214 05-17-2025 <br />