Insurance - Burns, Esq., Alan R. - 1995-01-14 PROFESSIONALS PROTOTYPE I sat,
INSURANCE COMPANY LIMITED
GRAND TURK, BRITISH WEST INDIES
Policy No. PRO-205197-LCA88
Prey. No. PRO-204519-LCA88
DECLARATIONS-LAWYERS
PROFESSIONAL LIABILITY INSURANCE
CLAIMS MADE POLICY: This policy is limited to liability for only those claims that are first
made against the insured and reported in writing to the company or its claims coordinator during
the policy period.
Please review the policy carefully
1. NAMED INSURED(S): Harper and Burns
2. MAILING ADDRESS FOR ALL NAMED INSURED(S):
453 South Glassell Street
Orange, California 92666
3. POLICY PERIOD: FROM: January 14 , 1995 TO: January 14 , 1996
12:01AM Standard Time at address listed above.
4. LIMITS OF LIABILITY:
(a) Limit of Liability - Each Claim: $ 500 , 000
(b) Limit of Liability - Aggregate: $1, 000 , 000
5. DEDUCTIBLE:
(a) Deductible - Each Claim: $4, 000 . 00
(b) Deductible - Aggregate: UNLIMITED
6. PREMIUM: $18 , 725 . 00 Thsinsuranceisissuednursuautto
the California Insurance Cod;
Sections 1760 through 1780, and rs
7. SURPLUS TAX $561 . 75 placed in as insurer nr insurers not e\e$
& FEE: $93 . 62 holding a Certificate of Authority
from or regulated by_the California
8. TOTAL PREMIUM & Insurance Commissioner
TAX & FEE: $19 , 380 . 37
9. ENDORSEMENTS: 41 & 42
ALL Capital Workshop Mop I en !aI REPOR 1 ED DIRECTLY 10:
Capital Workshop General Insurance Agency
P.O. Box 410870 San Francisco, CA 94141-0870
Authorize Company Representative
Policy Nu. I o. t 7 r, ,t
Y 1 (" , DECLARATIONS PAGE AMENDED 4 .i ',t r
90 0AP4 ' 9�11M14: FARM FIRE AND CASUALTY COMPANY - G
A STOCKPCOMPANY WITHSHOME CA BLOOMINGTON, ILLINOIS
NAMED INSURED AND MAILING ADDRESS MORTGAGEE525
8448/61 M
JOHN R HARPER INC & JUDI ORANGE NATIONAL BANK
CYNTHIA&AABURNS(BUR NFE&7315. 1 ) ORANGE CATE92667-5059
DBA HARPER & BURNS
453 S GLASSELL ST
ORANGE CA 92666-1905
BUSINESS POLICY - SPECIAL FORM 3 COV A - CONSUMERNPROICERINDE : 1 INDEX: 126.6
Automatic Renewal — If the Policy Period is shown as 12 months, this policy will be renewed automatically subject
to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will
give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law.
POLICY PERIOD: 12 MONTHS THE POLICY PERIOD BEGINS AND ENDS AT 12.01 AM
EFFECTIVE DATE: 09/13/94 STANDARD TIME AT THE PREMISES LOCATION.
EXPIRATION DATE: 09/13/95
NAMED INSURED: PARTNERSHIP
AS THEIR INTEREST MAY APPEAR
YOURPOLICY- IS AMENDED 06/22/95:
LOCATION OF COVERED PREMISES VALUABLE PAPERS COVERAGE CHANGED
453 S GLASSELL
ORANGE CA 92666- 1905
COVERAGES AND PROPERTY LIMITS OF OCCUPANCY: OFFICE
INSURANCE
SECTION I
A BUILDINGS $ 254,500
B BUSINESS PERSONAL PROPERTY $ 50,900
C LOSS OF INCOME $ ACTUAL LOSS
DEDUCTIBLES-SS CT I
$SECTION II
L BUSINESS LIABILITY $ 300,000
M MEDICAL PAYMENTS $ 5 ,000
PRODUCTS-COMPLETED OPERATIONS $ 600,000 IN CASE OF LOSS UNDER THIS POLICY, THE
(PCO) AGGREGATE DEDUCTIBLE WILL BE APPLIED TO EACH
GENERAL AGGREGATE (OTHER $ 600,000 OCCURRENCE AND WILL BE DEDUCTED FROM
THAN PCO) THE AMOUNT -OF THE LOSS. OTHER
DEDUCTIBLES MAY APPLY-REFER TO POLICY.
ENDORSEMENT
FORMS, OPTIONS, AND ENDORSEMENTS PREMIUM I6C58ASE
SPECIAL FORM 3 FP-6103 $ 6.58
EMP DISHONESTY $5,000 OPTION ED
VALUABLE PAPER $50,000 OPTION VP
AMENDATORY ENDORSEMENT FE-6205
TREE DEBRIS REMOVAL FE-6451
SPECIAL FORM 3 POLICY END FE-6506
POLICY ENDORSEMENT FE-6464
PERSONAL INJURY EXCLUSION FE-6346
CONTINUED ON REVERSE SIDE OF PAGE
OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR.POLICY �` _\
PREPARED COUNTERSIGNED 4 ( V rS
06-80395 r C_J ...._ t 9
06/2639.2C ARAP BY v ,N
AGENT
(06/93) CHARLIE BOTT__
YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS (714) 661 -6272
AND THE POLICY FORM. PLEASE KEEP THESE TOGETHER. 555-7011.2 Rev.11.94 Printed in U.S.A
.F_i:5C1
5.3
Printed in U.S.A. Rev. 04-92
i
•
•
•
•
•
•
u\
•
•
.
•
¢° S o 1
Q 2 L
z ° Q , 1
O RI'. W N ' 1:
•
Q N. N ...0 O. I -
U w3N <
Nmru w N
SO JS M1 S ;
o m K MO u1 I -
'�i QV d�
V -I y U -J LLS (U
UI Z N 4 2 Q of m
.. - ./: I o 0 w w M Z� r�7
•
1 i < z V)J Cri w
N . I Q '. 0 2H 31 -<! , ° z m w rex .i-j
Cr
°� I i 0 a N u MULL!l7 WO W
:! 3 I- 2m2 U'2 U w
II m N. mwQOQ ¢a y ° ,
a-0 3iJECIO C' ¢ w
�m <z a w ' -
��� Nz cc
\ �w I"••
e i
� NbW FO W
V 2
<N0 W
•
•
•
•