Free Declaration in Support - District Court of California - California


File Size: 51.8 kB
Pages: 3
Date: December 31, 1969
File Format: PDF
State: California
Category: District Court of California
Author: unknown
Word Count: 562 Words, 3,634 Characters
Page Size: 612 x 790.8 pts
URL

https://www.findforms.com/pdf_files/cand/192903/77-31.pdf

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Case 4:O7—cv—O2684-CW Document 77-31 Filed O7/24/2008 Page 1 013

i i Case 4:O7—cv—O2684-CW Document 77-31 Filed O7/24/2008 Page 2 of 3
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June 24, 2004 O I
Mr. Simon Rote { k
Vice President, Finance
C opart, [nc. A
4665 Business Center Drive
Fairfield, CA 94534
Subject: INSURANCE RENEWALS - OCTOBER I, 2004 O
Dear Simon;
ln order for us to proceed in our renewal activity with underwriters, we will need the following updated
exposure information:
•$• Named Insured Schedule
• Please provide a current listing ol` all corporate entities to be included as named insureds, along
with corresponding FEIN numbers
•I• Locations Schedule and Property Statement of Values
• Please provide a current. complete listing ofall locations [The current schedule "on file with
Insurance company" is attached]
For each insured location, please provide the respective current property values for:
• Buildings! Structures _
' Building Improvements
· Contents [Other than stock and inventory]
' Computer Equipment & Media
· Stock/Inventory (provide breakout ol values Rir "Owned" stock held for sale) ii
· Business Interruption/Extra Expense
·I· Contractors Equipment Schedule & Values [Off Road Equipment Schedule]
· Updated value of the contractors equipment exposure and a copy of the item schedule
•Z• Automobile [Licensed for Public On Road Use]
· Current active fleet vehicle schedules for trucks and corporate private passenger autos
• Updated list of active drivers, including date of birth and drivers license number
-2- General Liability . ‘
• Estimated Revenues for upcoming annual period of l0/l/04-05 [current estimate is $379
Million]
• Number of salvage vehicles you expect to process in the upcoming annual period
An MMC Company
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i Case 4:O7—cv—O2684-CW Document 77-31 Filed O7/24/2008 Page 3 of 3
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Page 2
June 24, 2004
Mr. Simon Rote
·2• Workers Compensation
· Estimated Payroll by State and by Employee Classihcation for l0/ l/04-05 annual period
• Employee Headcount by Location
•Z· Miscellaneous
· Latest available audited financial statement
• Riviera Office Plaza Property Owners Association General Liability ~ Please advise if there are
any exposure changes to be considered at this next renewal
An exhibit showing Copar1's historical exposure base data is attached for your reference.
Please provide the requested infomation by July l5, 2004 so that we will have sufficient time to work
with underwriters to provide renewal terms on a timely basis. lt would be helpful if you could forward
segments of information as you are able to compile them, rather than holding up to send all at once.
Thanks Simon. lf you have any questions or require any assistance, please let us know.
Sincerely,
Patrice Mclntyre V
zpm/enclosures
cc: Mike Finigan
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Case 4:07-cv-02684-CW

Document 77-31

Filed 07/24/2008

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Case 4:07-cv-02684-CW

Document 77-31

Filed 07/24/2008

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Case 4:07-cv-02684-CW

Document 77-31

Filed 07/24/2008

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