Laserfiche WebLink
sfateFarm STATE FARM GENERAL INSURANCE COMPANY <br />3' AA 57-OCK ! COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS <br />Ba0e Old ®ln4, ®6,4 R 8331 f -8501 <br />M <br />001114 3123 <br />Named Insured <br />R- 23- 0450 -FBBA F N <br />SANTA ANA CHAMBER OF COMMERCE <br />C/O MARTY PETERSON <br />1631 W SUNFLOWER AVE STE C35 <br />SANTA ANA CA 92704 -7460 <br />Businessowners Policy <br />DECLARATIONS COVERAGE SUMMARY JAN 142015 <br />Policy Number 92- CM- E499 -2 <br />Policy Period Effective Date Exp(ration Dale <br />12 Months MAR 1 2015 MAR 1 2016 <br />The polldcy period bpins and ends at 12:01 am standard <br />time at to premises ocatlon. <br />Agent EDDIEa®UIL R <br />LAE Address <br />S JR <br />415 N BROADWAY <br />SANTA ANA CA 92701 -4656 <br />PHONE: (714) 617 -7150 <br />Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and <br />forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortga gee/Lien holder written notice in <br />compliance with the policy provisions or as required by law. <br />Entity: NON - PROFIT <br />Requested By: Policyholder <br />Policy Premium <br />Discounts Applied: <br />Years in Business <br />Protective Devices <br />Sprinkler <br />Claim Record <br />$ 2,565.00 <br />Prepared <br />JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 <br />CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission <br />008530 290 1 M Continued on Reverse Side of Page <br />N <br />Page 1 of 6 <br />Ho 686 0 BA1 7011 0132a10 <br />