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itI <br />SI NSUR <br />NSURANCE <br />CG7MPANY <br />New Orleans, Loulslana <br />Renewal of Number COMMERCIAL LINES POLICY <br />NEW COMMON POLICY DECLARATIONS <br />AMENDED DECLARATION - Policy Changes Effective: 02/01/2017 <br />No change in Premium or any applicable taxes/fees. <br />Policy No. CPP 0105807 00 <br />Named Insured and Mailing Address Producer <br />FRIENDS OF SANTA ANA ZOO SCHWEICKERT & COMPANY <br />1801 EAST CHESTNUT AVE 17300 RED HILL AVENUE #210 <br />SANTA ANA CA 92701 IRVINE CA 92614 <br />Policy Period: From 01/17/2017 To 01/17/2ola at 12:01 A.M. Standard Time at <br />mailing address shown above. <br />Business Description: NOT FOR PROFIT ORGANIZATION <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 />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 INLAND MARINE COVERAGE PART <br />CA Surplus Lines Tax: $453:87 <br />CA Stamping Fee: $30.26 <br />FULL TERM PREMIUM <br />$ 6,294.00 <br />$ 8,215.00 <br />$ 620.00 <br />$ <br />TOTAL PREMIUMS $ 15,129.00 <br />TAXIFEE/SURCHARGE $ 484.13 <br />TOTAL $ 15,613.13 <br />TOTAL AMOUNT DUE: $15,613.13 PAYABLE ACCORDING TO SCHEDULE. <br />Form(s) and Endorsement(s) made part of this policy at time of Issue: <br />D-2 07/11 SL001 01/87 IL0003 09/08 IL0017 11/98 IL002k• 09/08 <br />IL0102 05/05 IL0104 09/07 IL0270 09/12 IL0935 07/02 <br />a <br />T.H.E. Insurance Company (A Stock Company) <br />03/21/207.7 <br />LM <br />Authorized Representative <br />INSURED COPY <br />