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M 11$77 <br />DECLARATIONS (CONTINUED) <br />Office P011% for ARELLANO TERESA <br />Policy NUM er 92.CY.S560.1 <br />SEQjjQN <br />,LIMIT"OP <br />COVERAGE <br />INSURWCE, <br />Coverage L - Business Liability $1 100010(to <br />Coverage M - Medical Expenses (Any One Pet-son) $s'000' <br />Damage To Premises Rented To You $300,000 <br />LIMIT OF <br />AGGREGATE LIMITS INSURANCE <br />ProdLJ0t81C0MpJ8t6d Operations Aggregate $2,000,000 <br />' G4niirilAggregate ' I 1 11 $2,000,000' <br />Each paid claim for Liability Coverage reduces the amount of insurance we provide during die applicable <br />annual period, Please refer to Section II - Liability in the Coverage Form and an y attached endorsements, <br />Your policy consists of these Declarations, the BLISINESSOWNERS QOVERAGE FORM,shown below, and any other <br />forms an ' dendoirsernentsihat apply, includi.tig those sh6wri-b 9 i'o <br />was we as threw issued subsequenhothe <br />issuance of this policy- <br />FORMS AND EN MENTS <br />CMP-4101 <br />*13usinessowners, Coverage Form <br />CMP-4705.1 <br />*Lass of Income &E.xtra Expn se <br />OMP-471 0 <br />*Employee Dishonesty <br />OMP-4704 <br />*Dependent Prop Loss of Income <br />CMP-4668, <br />*136ok-Up' cif Sewer or b rah <br />OMP-4709 <br />*Money and Seourifl6s <br />CIVIP-4703 <br />*Utility interruption Loss Incur <br />FE-6999,2 <br />"Terrorism Insurance Cov'Notice <br />OMP-4819.1 <br />*Unauthorized Business Card Use <br />CMP-4786.1 <br />*Add] Insd Owners Lessee Soh6o <br />FD-6007 <br />*Inland Marine Attach Deo <br />* New Form Attached <br />Prepared <br />AUG 19 2015 0 Copyright State Farm Mutual Automobile Insurance Company, 2008 <br />CMP-4000 In6udBs nopyrighted material of Insurance Services Office, Inc., with its permission, <br />011850 291 Continued on Reverse Side of Page <br />E <br />Page 5 of 6 . <br />