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N. eee - � - ... ,+ __ a �•e a _. -� r. _, - i f''� rl -� ti • - :'� :?a _ � - .� r . :s" _ - '• �" a a:6 L YL :+ ...fir.. 1 - c k •a:� - I 70 .C7 ° ,_ r��.. r+,t, Fes•,... • �¢ P� * 4 F � A 1 t --3 .wya't••awLRexne:�, °�-- •• —•-o�_Itti;r • _ . i y�T �• ' h dem ! _ Renewal of 0 DECLARATIONS: COMMERCIAL POLICY DECLARATIONS xz.rsvRArrc� UaMrA.ivY P.O. Box 5100 Scottsdale, Arizona 85261 6263 North Scottsdale Road, Suite 240 it 5coftsdale, Arizona 85250 i -8n0-873-944 It:M 1 Tamed insured and P.O. Address (Number, Street, Town or City, County, State, dip Code) NELSON FIRE SYSTEMS 1481 S. MAJOR ST. SALT LAKE CITY UT 84115 Agent and P.O. Address Agency (Number, Street, Town or City, County, State, Zip Code LTL GENERAL TNSURANCE P.Or. BOX 71467 GENCY .LT LAKE CITY, UT 84171- 0467 SCP504091 Policy Number The i r issuing mr 'cies ce-�%fffica-Le of qbusrthl, state f no fUlly T t.1 �+1 '4+ 'thus �Y.:�R o '9o -i l �-'.�S 1 "ori by L ■ ie Wa ll �nswrail'ice COMM zjSSjoner. -r2rwamulklE.s n0 P°'' y 0 %crp&ted under ahapter 1� Title ITEM 2 PolicyPeriod: From: 06/01/2004 TO: 06/01/200S 12;01 A.M.,, Standard time at address of the Named Insured as stated. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS. FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. ITEM 3 Commercial Property CoverageFart... . NOT COVEREDCommercial General . Liability Coverage Part . .......... P § A . IF s r i e . . f i i � r r � T e• . . r —1 0 48 t-,,roTessional Liability Coverage Commercial Inland Farina Coverage C• • R e e . • • e • • • . r . a . 4 . . • • e r • . i h . • . 9 NOT COVERED PRED indorsements {identify by form numbers and edition dates}; SEE SCHEDULE -OF FORMS AND ENDORSEMENTS- Audit Period: Annual, unless otherwise sated. ITEM 4 Named Insured is (check one), � Premium Tota[ *POLICY FEE TATE TAX AP TAX TOTAL *TFULLY EARNED ! nd ividuaf Limited Liability Company 1t 0487 00 150 . 0 S18.42 30.50 12,746-92 El Partnership. or Joint Venture C] Other IMPORTANT NOTICES TO POLICYHOLDER: (Please read carefully) A. Any misrepresentation or any concealment or fraud on the part of the insured which misrepresentation, concealment x1, fraud affects either the acceptance of the risk or the hazard assumed by the Company shall render this policy Void. B. Notice of all accidents or occurrences must immediat-ely be given to W'3stwn Heritage insurance Company whether or not such accidents or occurrences appear Piker to involve this policy. ND LAT CANCELLATIOF JNC K,r Agency at; t AUTHORIZED REPRESENTATIVE WH12t-0235a (03/99) TINSLTRED DATE -