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it <br />mo) T_H_E_ <br />INsuRANcE <br />COMPANY <br />Now Orlaans, Louisiana <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />DECLARATIONS <br />Named Insured and Mailing AddressPolicy No. CPP 0105807 00 <br />FRIENDS OF SANTA ANA Z00� <br />1801 EAST CHESTNUT AVE. <br />SANTA ANA CA 92701 /4 -:a'{")(,}? - t✓(,F: <br />Policy Period: From 01/17/2017 to 01/17/2018 at 12:01 A.M. Standard Time at <br />mailing address shown above. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br />LIMITS OF INSURANCE <br />General Aggregate Limit <br />(Other than Products -Completed Operations) $ 2,000,000 <br />Products -Completed Operations Aggregate Limit $ 2,000,000 <br />Personal and Advertising Injury Limit $ 1,000,000 <br />Each Occurrence Limit $ 1,000,000 <br />Damage to Premises Rented to You Limit $ 500,000 Any One Premises <br />Medical Expense Limit N/A <br />RETROACTIVE DATE (CG 00 02 only) <br />Coverage A of this Insurance does not apply to "bodily injury" or "property damage" which <br />occurs before the Retroactive Date, if any, shown here: <br />DESCRIPTION OF BUSINESS AND LOCATION OF PREMISES <br />Form of Business: NOT FOR PROFIT ORGANIZATION <br />Location of,All Premises You Own, Rent or Occupy: <br />001 1801 EAST CHESTNUT AVE <br />SANTA ANA CA 92701 <br />FULL TERM PREMIUM Premium Rate Advance Premium <br />Classification Code No, Pr/Co All Other Pr/Co All Other <br />GIFT SHOPS -OTHER THAN NOT-FOR-PROFI 13506 $ 1,165.00 <br />AMUSEMENT DEVICES CNOC) 40040�.\. $ 7,050.00 <br />-06, ,9`jb\ 5 <br />Full Term Premium: $ 8,215.00 <br />TotalTax/Fee/Surcharge: Tax: <br />Total Due: $ 8,215.00 <br />FORMS <br />AND ENDORSEMENTS <br />Form(s) <br />and Endorsement(s) <br />made <br />part of this <br />policy <br />at time of <br />issue <br />CG0001 <br />04/13 CGO02 <br />07/95 <br />CG0300 <br />01/96 <br />C00435 <br />12/07 <br />CG158 <br />01/87 CG169 <br />04/91 <br />CG2001 <br />04/13 <br />CG2011 <br />04/13 <br />CG2106 <br />05/14 CG2133 <br />11/85 <br />CG2135 <br />10/01 <br />CG2147 <br />12/07 <br />CG2167 <br />12/04 CG2196 <br />03/05 <br />CG2407 <br />01/96 <br />CG305 <br />07/95 <br />IL1201 <br />11/85 <br />GL DEC INSURED COPY <br />Sur: <br />CG150 04/13 <br />CG2101 11/85 <br />CG2149 09/99 <br />CG3234 01/05 <br />