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M 11971 <br />'DECLARATIONS (CONTINUED) <br />Office Policy for ARELLANO TERESA <br />Policy Number 92.6Y.55,90.1 <br />SECTION I - PROPgRIJ 2CUEDULE <br />Location <br />Location of <br />Limit of Insurance* <br />Limit of InsuranoW <br />seasonal <br />Number <br />Described <br />Increase" <br />Premises <br />Coverape A - <br />C""'%'r! - <br />1,u,lness <br />r <br />Bull n9s <br />SUsiness onal <br />Personal <br />Prbpprt}, <br />Piropdrty. <br />001 <br />1002 -E I !TH ST. STE R <br />No Coverage <br />$ 15,4bO <br />V. <br />SANTA ANA CA 92701.2501 <br />I <br />'As of the effective date of this policy) the Limit of insurance as shown includes any increase in the limit du6to Inflation Coverage, <br />SEQT.IOHI,- INFLATION COVERAGE INDE&E2) <br />Gov A - Inflation Coverage index: NIA <br />Cov B.- Consumer Price Index: 238.6 <br />SECTION I - DEDUCTIBLES <br />Basic Deductible $1,00,0. <br />Special Deductibles: <br />Money and Securities $250 Employee Dishonesty $250 <br />Equipment Breakdown $1,000 <br />Other deductibles` may apply - refer to policy. <br />Prepared <br />AUG 19 2.015 0 Copyright, State Farm Mutual Automobile Insurance Company, 2003 <br />CMP-4000 Includes ropv6ghted maternal of Insurance Services Office, lnc., vvith its permission. <br />011878 Continued on Next Page Page 2 of 6 <br />