1975-0507_CAL FED ENTERPRISES_Insurance CertificateStock-CQinpany
No. EPP 4462
NEW
Renews Number
SPECIAL MULTI -PERIL POLICY - CALIFORNIA
E11RIE INSURANCE COMPANY4
Ilutne Office: 1502 Nurth Broridwar a Santa Ana, California
Mailing .Address: i'.0. Roc 566
ESTABLISHED 1898
Replaces Num er
COMMISSION RATE 20%
DECLARATIONS
Item 1. Named Insured and P. 0. Address No., Street, Town, County, State, Zip Code) _ )
VILLAGE SAN JUAN tiON:E�!:ERS ASSOCIATION
C/O THE MANAGEMENT SERVICE COMPANY
206 WEST 4TH STREET
SANTA ANA, CALIFORNIA
Item 2. Policy Period: From 3/24/74 To 3/24/77 - -
Noon Standard me6atYlocat' n of descrhedrEropA
Producer:ucer: ,05-275115
. 2 i
• • E AGENCY, INCORPORATED CODE 0S•-]� s
Item 3. The Named Insured is: -- . - - I mo.
❑ Individual 0 Partnership 1� Corporation E] Joint Venture :1] Other: ASSOCIATION
Item 4..Loccalion of premises: (Enter "same" a same I atlon as above) Occupancy of Premises: P\EMAT I ON ,
No.J''9"3% = AUCHn- VIEJO RIWI+, ;sib ,�1 •.•0#731' " ;FORNM BUILDING
No. 2
Nem S. Insurance is provided with respect to thou premises described above and with respect to Mose coverages and kinds of property for which a specific limit of
liability is shown, subject to all of the terms of this policy including forms and endorsements made a part hereof:
LIm IT OF LI AB 1 LI Tr
COINSURANCE
toe. e. Bldg. No. Lee. e. Bldg. We. Lac. He. Bldg. No. Lee. No.
Bldg. o. PERCENTAGE
COVERAGE
APPLICABLE
Building(s)
B. Personal Property-
Addl. Cow. (Specify) - -
D
=
y I
SECTION
$
V
DIV. 1: Loss Deductible Clause applicable: 5EE MISSi
i
PROPERTY
Addl. Coy. (Specify) g a -..A .-
D
COVERAGE
f
S
$
ea
2
�3
L I M I T O F L I A B I L I T Y
_
.. COVERAGE �t..-
• each occurrence; w.r
aggregate
C. Bodily Injury and Property Damage Liability
-
SECTION
each person ; di "am,
each accident
D. Premises Medical Payments
11
'
Addl. Cow. (Specify)
LIABILITY
S PMONAI INJURY AS KX NSSISnO
is
COVERAGE
NOWRIOI'iWD AUTO AS PER I4L8• 2
aIte`m 66. Formas and Endorsements
tmade
dpart oof/tthisaPolicy at time of issu ) IDI 5•� Z jT4LW45U I• I (3 MDA W 1.73
(4)PLE16 II-69i5�11L13220 a•?3(&)ML111 I�0=EB6(?J� Z�E14-�65�ei IMMI 1-72 `t
Item 7. Mortgagee: NIL - '- - i9iALW 720011L9I09 7ads",t'
)NAME AND ADDRESS) ,
t
Item 6. the roWnal Premium is ,ENTER 13 o
;f • a.77 s67V and is a able 9600 at in c D t i o n and ; 1#13 *00 at each anniversary.
SANTA AtMt �L i F0_RN IA SHM .Q I9/7#►
CountersignedaL..._...............---...._.1.-------------------------------------------------------.._....................------------=----------------------------`............------.
DATE - )AUTHORIZED REPRESENTATIVE)
r,4 �y,� � .. . - VDT ✓ - - -
J
w
µ
Rg�E��EO APR -
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FORM 107 (REV. 2-71) 2M �OJ¢ S -d11
\ PRODUCER'S COPY