Free Declaration in Support - District Court of California - California


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Date: December 31, 1969
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State: California
Category: District Court of California
Author: unknown
Word Count: 572 Words, 3,920 Characters
Page Size: 612 x 790.8 pts
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https://www.findforms.com/pdf_files/cand/192903/77-30.pdf

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Case 4:O7—cv—O2684-CW Document 77-30 Filed O7/24/2008 Page 1 0f3

· Case 4:O7—cv—O2684-CW Document 77-30 Filed O7/24/2008 Page 2 of 3
» Patrice Mclntyre Marsh Risk & Insurance Services \_.•
P.O. Box 193880
M A R S H san Francisco, CA 94119-3880
~ Phone; 4lS 743 86l7 Fax: 415 743 8080
' Califomia License No. 0437153
June 16, 2003
Mr. Simon Rote i
VP Finance
Copart, Inc. -
4665 Business Center Drive ,,,,,___
Fairfield, CA 94534 Q _;_; i
"··*’ ~ if t 3
Subject: INSURANCE RENEWALS - OCTOBER 1, 2003
Dear Simon:
In order for us to proceed in our renewal activity with underwriters, we will need the following updated
exposure infomation:
•Z· Named Insured Schedule I
• Please provide a current listing of all corporate entities to be included as named insureds, along
with corresponding FEIN numbers
·Z• Locations Schedule and Property Statement of Values
• Please provide a current, complete listing of all locations [The current schedule "on tile with
Insurance company" is attached]
For each location, please indicate respective current property values for:
i Buildings / Structures
• Building Improvements '
· Contents [Other than stock and inventory] i
• Computer Equipment & Media
· Stock/Inventory (provide breakout of values for "Owned" stock held for sale)
· Business Interruption! Extra Expense
•$• Contractors Equipment Values [OIT Road Equipment Schedule] `
· Updated value ofthe contractors equipment exposure and a copy ofthe item schedule
i ·Z• Automobile |Licensed for Public On Road Use]
· Current fleet vehicle schedule, including private passenger autos, car carriers, trucks, etc.
· Updated list of active drivers, including date of birth and drivers license number
·I• General Liability
• Estimated Revenues for upcoming annual period of 10/ l/O3-04
- Number of salvage vehicles you expect to process in the upcoming annual period {E "t`‘ ° i`-»°_‘i °»·‘ f » ·
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Case 4:O7—cv—O2684-CW Document 77-30 Filed O7/24/2008 Page 3 of 3
I ` **5
. Marsh Risk & Insurance Services N,}
· Page 2
June I6, 2003
_ Mr. Simon Rote
r ·Z· \Vorkers Compensation
· Estimated Payroll by State and by Employee Classification for IO/l/03-04 annual period
· Employee Headcount by Yard Location
• Please provide a currently valued loss run for the Liberty Mutual year of l0/ l/99-00
·I· 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
A exhibit showing Copart's historical exposure base data is attached for your reference.
Please provide the requested infomation by June 30, 2003 so that we will have sufficient time to work
with underwriters to provide renewal temrs 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. If you have any questions or require any assistance, please let us know.
Sincerely,
Patrice Mclrrtyre
_ rpm/errclosurcs i '
cc: Mike Firrigarr
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Case 4:07-cv-02684-CW

Document 77-30

Filed 07/24/2008

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