Free Declaration in Support - District Court of California - California


File Size: 58.3 kB
Pages: 3
Date: December 31, 1969
File Format: PDF
State: California
Category: District Court of California
Author: unknown
Word Count: 464 Words, 3,172 Characters
Page Size: 612 x 790.8 pts
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https://www.findforms.com/pdf_files/cand/192903/77-29.pdf

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Case 4:O7—cv—O2684-CW Document 77-29 Filed O7/24/2008 Page 1 0f3

Case 4:O7—cv—O2684-CW Document 77-29 Filed O7/24/2008 Page 2 of 3
» - ' x _
_ I Patrice Mclntyre _
[ NI A I Marsh Risk & insurance Services
_ One Califomia Street ,
I _ San Francisco, CA 94111
California License # 0437153
415 743 8517 Fax 415 743 8080
` [email protected] ·
I www.marsh.com 7
June 23, 2005 ,_
Simon Rote, VP — Finance
Copart, Inc. ‘
4665 Business Center Drive
Fairfield, CA 94534 i ' I —
af
Subject: INSURANCE RENEWALS - OCTOBER 1, 2005
Dear Simon; I
In order for us to proceed in our renewal activity with underwriters, we will need the following
V , updated exposure information:
‘ ·Z· Named Insured Schedule I
· Please provide a current listing of all corporate entities to be included as named insureds, along
with the respective 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 insured location, please provide the respective current replacement cost property
values for:
· Buildings / Structures
· Building Improvements
· Contents [other than stock and inventory]
' Computer Equipment & Media
· Stock/Inventory (provide breakout of values for "Owned" stock held for sale)
· Business Interruption/Extra Expense _ W
·.• Contractors Equipment Schedule & Values [Off Road Equipment Schedule]
_ . Updated schedule ofthe contractors equipment items and values
. Automobile [Licensed for Public On Road Use] Meter
· Current vehicle schedules for commercial trucks/vans and corporate private passenger autos _
. ' List of active drivers, including date of birth and drivers license number
. Nl 00099
I nge l·./iarsh 5 li/lclenngn Companies

Case 4:O7—cv—O2684-CW Document 77-29 Filed O7/24/2008 Page 3 of 3
i · Mr. Simon Rote i
June 23, 2005
Page 2 ·
•Z· General Liability -
· Estimated Revenues for upcoming annual period of l0/l/05—06 [current estimate for 2004
is $430 Million]
‘ · Number of salvage vehicles you expect to process in the upcoming annual period
_ •Z• Workers Compensation 0
. · Estimated Payroll by State and by Employee Classification for the l0/l/05-06 annual period ‘
· Employee Headcount by Location
·2· Miscellaneous V
· Latest available annual report and _l0-Q
Please provide the requested infomation by July 25, 2005 so that we will have sufficient time to l
work with underwriters in the negotiation of renewal terms on a timely basis.
. Thanks Simon. lf you have any questions or require any assistance, please let us know.
Sincerely,
Patrice Mclntyre
A zpm/enclosures
cc: Mike Finigan `
M 00100 .

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Document 77-29

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