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ri <br />0 <br />1-40 <br />CD <br />W <br />w <br />w <br />H <br />r <br />tn <br />0 <br />0 <br />0 <br />0 <br />+ wr, <br />This SPECIAL MULTI -FLEX P ,ywiCY is provided by the stock insurance cpJW5t ,+ry(s) of The Hartford Insurance <br />Group, shown below. <br />COMMON POLICY DECLARATIONS <br />A <br />POLICY NUMBER: 57 UUN IF1488 K2 <br />RENEWAL OF: 57 UUN IF1488 <br />Named Insured and Mailing Address: <br />(No., Street, Town, State, Zip Code) <br />LSA ASSOCIATES, INC. <br />SEE IR1200 <br />20 EXECUTIVE PARK, SUITE 200 <br />IRVINE 5 C 92614 <br />(ORANGE COUNTY) <br />Policy Period: From 09/30/07 To 09/30/08 <br />12:01 A.M. , Standard time at your mailing address shown above. <br />In return for the payment of the premium, and subject to all of the terms of this policy, we agree with you to provide <br />insurance as stated in this policy. The Coverage Parts that are a part of this policy are listed below. The Advance <br />Premium shown may be subject to adjustment. <br />Total Advance Premium: <br />Coverage Part and Insurance Company Summary <br />PROPERTY CHOICE <br />HARTFORD CASUALTY INSURANCE COMPANY <br />HARTFORD PLAZA <br />HARTFORD, CT 06115 <br />COMMERCIAL INLAND MARINE <br />HARTFORD CASUALTY INSURANCE COMPANY <br />HARTFORD PLAZA <br />HARTFORD, CT 06115 <br />Advance Premium <br />$ <br />$ <br />LISTING OF ADDITIONAL COVERAGE PARTS CONTINUED ON THE FOLLOWING PAGE. <br />Form Numbers of Coverage Parts, Forms and Endorsements that are a part of this policy and that are not <br />listed in the Coverage Parts. <br />HM0001 IL00171198 IHO9850206 IL00210702 IL01020505 IL01040204 IL02701104 <br />P000010103 HM00200295 HAO0250302 <br />IH12001185 NAMED INSURED <br />Agent/Broker Name: DEALEY RENTON & ASSOC INS BROKERS <br />Countersigned by <br />(Where required by law) <br />Form HARM 07 <br />Authorized Representative <br />Date <br />PAGE 1 (CONTINUED ON NEXT PAGE) <br />