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PROOF OF INSURANCE (2025 - 2026)® CERTIFICATE OF LIABILITY INSURANCE DATE o5�1s/2oz) ACORO .,. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). RODUCER CONTACT Mark Minh N %„q etl NAME.. _..... g y atere ` Mark Minh N u en 714-418-905 m EMAIL 0 FAX Bolsa Ave Ste H A Ise mark; nguyen p4gv@a statefarm.com IAI -APPR INSURER(S) AFFORDING COVERAGE NAIC # Huntington Beach CA 92647 ,. `"" INSURER A: State Farm General Insurance Comparly.. ryI i5151 INSURED INSURER B : State Farm Mutual Automobile nsurance Company l 2517$ PFI OFFICE FURNITURE INC INSURERa c ,Farm Fire State ualty Com and Cas pang � 25143 7540 GARDEN GROVE BLVD INSURERD: INSURER E . WESTMINSTER CA 926832332 INSURER F. COVERAGES CER! (FBCATE NUMt ER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTFt' .... ... , .� . ... ��-. ruuU*'t ��F l P6LI l�1ff5 j...--------- � TYPE OF INSURANCE p yyyg- POLICY NUMBER MW OIXYY?'1 i lnnngloDIYYYY LIMITS *X' COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE ; $ 2,000,000 CLAIMS MADE X OCCUR 1 _ PRMIau enrp) $ 500,000 50,000 A Y Y 92-E9-N340-9 03/21/2025 03/21/2026 PERSONALA& ADv INJURY s 2,000 000,000 W.,...-.. ... ...... GEN'L AG GREGATELIMI LIMIT L,,.--- ., GENERAL AGGREGATE 0 4 G $ 4 00000 POLICY JE a a X % LOC f .,.. PRODUCTS -COMP., I $ 4 OOO OOO OTHER: I } $ AUTOMOBILE LIABILITY J 691 3250-B07-75E 02/07/2025 08/07/2025 �MUINEI�,S%N L q..IPdGn Irv{) $ ..00..000 ANY AUTO BODILY I�NTY'�RAM(AGtperson) J $ OWNED SCHEDULED 103/24/2025 B Y Y f 701 1042-C24-75E 09/24/2025 BODILY INJURY (Per a� accident) $ AUTOS ONLY ..,„„ AUTOS HIRED NON -OWNED 6491SO4-F10-75L 1 2 1211OJ2024 06/ 0/20 5 R AUTOS ONLY AUTOS ONLY j y,„ Re! RcOdlep„t). ..... �-- J X UMBRELLA LIAB X OCCUR �,. ,EACH OCCURRENCE S 5,000,000 ., A EXCESS LIAB CLAIMS -MADE N/A � 92-GX-A925-5 04/30/2025 04/30/2026 AGGREGATE $ 5,000,000 �,,,,,,,,,, '....., DED X RETENTION $ I0,000 ,�.,,, . ®,.,.---....... .,.� d s WORKERS COMPENSATION II 1 I f PER I UT H- J X a $ TAccIDEEMPLOYEE� AND ANY PROPRIETOR/PARTNER/EXECUTIVE YIN C OFFI CERP MEMBEREMBER PAREXCTNERIE N N/Al Y 92-TB-GO81-4 03/21/2025 OOO OOO 03/21/2026 EL EACH s1 _ , r (Mandatory in NH) E1, DISEASE - EA 1 ,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $1 000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its elected and appointed officials, employees, and volunteers are included as additional insureds. L;rK I'.IIr14A I D MULq.J'.r-K UANUt=LLA.I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 r w This form was system -generated on 05/16/2025 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001466 2005 155279 205 01-19-2023 E (MM .... AC"RV /2 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT IMAt�� Mark Minh Nquyen statepirin Mark Minh Nguyen HONE Ext) E-MAIL 714-418-9050 C Nr1 e Alc, No 6552 Bolsa Ave Ste H8_Apps mar ,n alyell gXQslatefarm.com INSURERS AFFORDING COVERAGE NAIC # Huntington Beach CA 92647 INSURER A State Farm General Insurance Company C 25151 INSURED INSURERB: State Farm Mutual Automobile Insurance Company 25178 PFI OFFICE FURNITURE INC ER c State Farm Fire and Casualty Company 2. INSURER, 5143 7540 GARDEN GROVE BLVD INSURER D INSURER E WESTMINSTER CA 926832332 INSURER F . rnVFRAr,F"ti CFRTIFICATF NIIMRFR• RFVISInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR, ....... .. ,.... -..., � —SO S�OR7 � � ������� i .MM/DDIYYYY) , NADD LTR I TYPE OF INSURANCE WVO POLICY NUMBER pp LIMITS immIDD YY ` 1 COMMERCIAL GENERAL LIABILITY OCCURRENCE $ 2,000,000 EACH OCC U � CLAIMS -MADE I /� i OCCUR � ,. . „_____ (RENTED DAMAGE Tb Is 500,000 .. I 1� I MED EXP Any one person) f $ 50,000 A Y Y 92-E9-N340-9 03/21/2025 " 03/21/2026 PERSONAL & ADV INJURY $ 2,000,000 GEN L AGGREGATE LIMJECIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 - PRO ® POLICY } # PRO- X LOC PRODUCTS- COMP/OP AGG $ 4 000 000 I OTHER: f $ AUTOMOBILE LIABILITY 1 649 1804-F10-751 COMBINED 'INGLt LIM( 1 12/10/2024 06/10/2025 (aeo'det 1) 000 000 ANY AUTO 701 1042-C24-75B I 1 09/24/2025 Jf BODILY INJURY (Perpe son) j $ .....� _,,, , r ,------ OWNED., �/ /� SCHEDULED B Y - Y 03/24/2025 I BODILY INJURY (Per accident) $ ONLY HIRED NON -OWNED 691 3250-BO7-75B 02/07/2025 08/07/2025 -'"7"1 ACE AUTOS ONLY ONLY tFP I I UMBRELLA LIAB v, f OCCUR f OCCURRENCE $ 5 000 000 A EXCESS LIAB CLAIMS MADE NIA 92-GX-A925-5 ,EACH ! 04/30/2024 04/30/2025 I $ 5,009,009. „. ...m ,. ...,� DED , ii RETENTION $ 10,000 ,AGGREGATE ._ .. ., .... .-IT..... $ WORKERS COMPENSATION PER f OTH- X $ Y!N ANY PROPRIETOR/PARTNER/EXECUTIVE 5TATVTE ER ...... 1 E LEACH ACCIDENT $ 1,000 000 C OFDCRPMEM ER EXCLUDED? N NIA' Y 92-TB-GO81-4 in NH) 03/21/2025 ' 03/21/2026 E.L DISEASE EA EMPLOYEE; 1,000,000 (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below - $ ....... ........ .... ..w ....m_._.. -- E.L, DISEASE- POLICY LIMIT $ 1,000,000 1 i DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of El Segundo 350 Main St El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 90245- This form was system -generated on 04/1012025 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 tatefbrm STATE FARM GENERAL INSURANCE COMPANY �l§ T A STOCK COMPANY WITH HOME OFFICES INBLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Po Box 2915 Policy Number 92-E9-N340-9 Bloomington IL 61702-2915 Named Insured - - Policy Period Effective Date Expiration Date M-23-2FE6-FB92 F Z 12 Months MAR 21 2025 MAR 21 2026 The poll y period beggins and ends at 12:01 am standard PFI OFFICE FURNITURE INC time at a premiseslocatlon. DBA PRO FURNITURE INSTALLS W"1 1111 S 0 0 Lh �Ls co ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor 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. Annual Policy Premium Included The above Premium Amountis included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8739 Inland Marine Conditions FE-6271 Amendatory Endorsement FE-8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared JUL 08 2025 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017572 530-686 a.2 05-31-2011 Io152320 92-E9-N340-9 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER FE-8745 Prepared JUL 08 2025 FD-6007 COVERAGE Inland Marine Computer Prop Loss of Income and Extra Expense LIMIT OF INSURANCE S 25,000 S 25,000 DEDUCTIBLE AMOUNT OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 50o ANNUAL PREMIUM Included Included 017572 530-606 a.2 05-31-2011 (03233cl StatcFarm,..., A DECLARATIONS (CONTINUED) Home Product Sales Polic for CITY OF EL SEGUNDO Policy Number g2-99-1 40-9 This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. L6 � o In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretaryi e Pm�e,. t+d . nt IMPORTANT NOTICE: California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Your agent's name and contact information are provided on the front of this document. Another option is to reach out by mail or phone directly to: State Farm Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1-800-STATEFARM (1-800-782-8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem, California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800-927-HELP (43M orvisit vwrww�irtsura gt,ca, oyW1-c p§tjrrtera, Prepared JUL 08 2025 CMP-4000 017571 290 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 92-E9-N340-9 017571 DECLARATIONS (CONTINUED) E-] Home Product Sales Policy for CITY OF EL SEGUNDO Policy Number 92-E9-N340-9 Accounts Receivable (Off Premises) $5,000 Back -Up Of Sewer Or Drain $15,000 Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Outdoor Property $5,000 Property Of Others (applies only to those premises provided Coverage B - Business $2,500 a Personal Property) Signs $5,000 'p Valuable Papers and Records (On Premises) $10,000 Valuable Papers and Records (Off Premises) $5,000 The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense SECTION II - LIAt I :1TY COVERAGE Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared JUL 08 2025 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017570 290 Continued on Reverse Side of Page N LIMIT OF INSURANCE $2,000,000 $50,000 $500,000 Page 5 of 7 DECLARATIONS (CONTINUED) Home Product Sales PoI for CITY OF EL SEGUNDO Policy Number !92-�9-N40-9 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $4,000,000 General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the ap licat to annual period. Please refer to Section II - Liability in the Coverage Form and any attached endomern nts Your policy consists of these Declarations, the BUSINESSO'WNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4101 Businessowners Coverage Form CMP-4786.2 *Addl Insd Owners Lessee Sched FE-6999.3 Terrorism Insurance Cov Notice CMP-4705.2 Loss of Income & Extra Expense CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4698 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4788.1 Addl Insd Mgrs Lessor of Prem CMP-4787 Waiver of Trans Rgt of Recov CMP-4260.1 Amendatory Endorsement -CA CMP-4261 Amendatory Endorsement CMP-4860.1 Al Design Person Org FD-6007 Inland Marine Attach Dec * New Form Attached Prepared JUL 08 2025 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017570 Continued on Next Page Page 6 of 7 Statehinn ' DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF EL SEGUNDO Policy Number 92-E9-N340-9 Equipment Breakdown $2,500 � N Other deductibles may apply - refer to policy, rrN I - EXTEN§IONS OF OF n w D * - The coverages and corresponding firnits shownbelow ppseparately areach described promises .w Declarations, unless indicated by "See Schedule," If a coverage does not have a corresponding limit shown below, but has "Included" Indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE Accounts Receivable On Premises Off Premises Arson Reward Back -Up Of Sewer Or Drain Collapse Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when building's are insured on a replacement cost basis) Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Prepared JUL 08 2025 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017569 290 Continued on Reverse Side of Page N See Schedule See Schedule $5, 000 See Schedule Included Coverage B Limit 25% of covered foss Included $2, 500 $5, 000 $10,000 Included 10% See Schedule See Schedule $1,000 Page 3 of 7 DECLARATIONS (CONTINUED) Home Product Sales Policv for CITY OF EL SEGUNDO Policy Number 92-E9-N340-9 Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises $100,000 $250,000 Included See Schedule $2,500 $25,000 $10,000 30 Days See Schedule See Schedule See Schedule See Schedule The coverages and corresponding limits shown below apply only to the described premises as shown. LOCATION COVERAGE 0001 Signs Back -Up Of Sewer Or Drain Money And Securities (On Premises) Money And Securities (Off Prernises) Property Of Others (applies only to those premises provided Coverage B - Business Personas' Property) Accounts Receivable (On Premises) Accounts Receivable (Off Premises) Outdoor Property Valuable Papers and Records (On Premises) Valuable Papers and Records (Off Premises) 0002 Accounts Receivable (On Premises) Prepared JUL 08 2025 © Copyright, State Form Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. LIMIT OF INSURANCE $5,000 $15,000 $10,000 $5,000 $2,500 $10,000 $5,000 $5,000 $10,000 $5,000 $10,000 017569 Continued on Next Page Page 4 of 7 StateRimn STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS MENDED JUN 18 2025 m � A 11i 1, ....-. ...... � Po Box 2915 Policy Number 92-E9-N340-9 Bloomington IL 61702-2915 p Addl Insured -Section II Only M-23-2FE6-FB92 F Z Policy Period MAR Data MAR 21 Date y 6 002363 3123 The poll y period begins and ends at 12:01 am standard CITY OF EL SEGUNDO time ate premises location. 350 MAIN ST EL SEGUNDO CA 90245-3813 Named Insured PFI OFFICE FURNITURE INC DBA PRO FURNITURE INSTALLS I III�I�II�III�IIIIIIII�III�II��I��II�II11111111�111111��111111�11 pa u4 4 UJ o Home Product Sales Policy Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor 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. Entity: Corporation Reason for Declarations: Your policy is amended JUN 18 2025 ADDITIONAL INSURED ADDED FORM CMP-4786.2 ADDED FORM CMP-4786.2 CHANGED Endorsement Premium Increase $ 88.00 Prepared JUL 08 2025 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017568 290 Al Continued on Reverse Side of Page N Page 1 of 7 538-586 e.2 85-31-2811 WM2310 DECLARATIONS (CONTINUED) Home Product Sales Polio for CITY OF EL SEGUNDO Policy Number 92-�9-N340-9 §gPTI!QN_LPROPERTY BLANKET Location Number 001 002 * As of the effective date of this policy, t Inflation Coverage, � I j 10KI&PUTa Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES Basic Deductible Special Deductibles: Money and Securities Prepared JUL 08 2025 CMP-4000 017568 $5,000 Limit of Insurance* No Covers e $ 125 40 25% Location of Described Premises 7540 GARDEN GROVE BLVD WESTMINSTER CA 92683-2332 13040 HOOVER ST WESTMINSTER CA 92683-2388 of Insurance as shown includes any increase in the limit due to N/A 315.7 $250 Employee Dishonesty © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Next Page $250 Page 2 of 7