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PHILADELPHIA <br />INSURANCE COMPANIES <br />A Member of the Tokio Marine Group <br />One Bala Plaza, Suite 100 <br />Bala Cynwyd, Pennsylvania 19004 <br />610.617.7900 Fax 610.617.7940 <br />PH'LY.com <br />Philadelphia Indemnity Insurance Company <br />COMMON POLICY DECLARATIONS <br />Policy Number: PHPK707391 <br />Named Insured and Mailing Address: <br />Legal Aid Society of Orange County <br />2101 N TUSTIN AVE <br />SANTA ANA, CA 92705 -7819 <br />Policy Period From: 07/01/2011 To: 07/01/2012 <br />Business Description: Non Profit Organization <br />Producer: 20225 <br />Brown & Brown of California Inc. <br />1025 Chapala Street <br />Santa Barbara, CA 93102 <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 />Commercial Property Coverage Part <br />Commercial General Liability Coverage Part <br />Commercial Crime Coverage Part <br />Commercial Inland Marine Coverage Part <br />Commercial Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />UltimateCover Property Coverage Part <br />Employee Benefits <br />Sexual /Physical Abuse <br />NS 'to loges <br />SP � g� OP,�oCne`1 <br />L� C; `J <br />Pss�s�a� <br />Total <br />Total Includes Federal Terrorism Risk Insurance Act Coverage <br />PREMIUM <br />8,955.00 <br />107.00 <br />12,819.00 <br />300.00 <br />INCLUDED <br />$ 22,181.00 <br />314.00 <br />FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br />Refer To Forms Schedule <br />'Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations <br />CPD- PIIC (01/07) z z ' 1 .'"_ ., <br />Countersignature Date Authorized Representative <br />