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w: <br />DATE: 11 /19/2020 <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />Phone: (415) 421.4244 OR (800) 759-4855 Fax: (415) 421-0620 <br />INSURANCE BINDER <br />QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE <br />MINIMUM PREMIUM APPLIES <br />NO ARS INCLUDED. <br />Page 4 of 4 <br />PLEASE REVIEW THIS BINDER CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED, <br />THIS. COMPANY BINDS THE RIND(S)OFINSURANCE STIPULATED HEREIN, THE ABOVE COVERAGES ARE THE ONLY COVERAGES BOUND, <br />ANY COVERAGE REQUESTED IN THEAPPLiCA'MN THAT DIFFERS FROM THEABOVE IS NOT INCLUDED. THE INSURANCE 15 SUBJECT TO <br />THE TERMS, CONDITIONS, LIMITATIONS, AND FORMS OF THE POLICY(S) IN CURRENT USE BY THE COMPANY. THIS BINDER IS <br />CANCELLED SIXTY (60) DAYS FROM THE EFFECTIVE DATE OR WHEN REPLACED BY A POLICY, WHICHEVER COMES FIRST, <br />THE AGENT MUST READ THIS CERTIFICATE AND IF NOT CORRECT RETURN IT IMMEDIATELY TO BURNS & WILCOX, LTD. <br />Sr Harvey Goldenberg, Authorized Representative (CA INS LIC # 0828615) <br />REVIMD&pAPPPFR��OVED BY.' <br />EE <br />& _ C�Rd�Qvd " fb Y�t <br />RLEkIY¢An�gemRnCAnaly{t <br />