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Burrs & <br />Wilcox <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />Phone: (415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620 <br />DATE:11/19/2020 INSURANCE BINDER Page 4of4 <br />QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE <br />MINIMUM PREMIUM APPLIES <br />NO ANS INCLUDED. <br />PLEASE REVIEW THIS BINDER CAREFULLYAS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED. <br />THIS COMPANY BINDS THE KIND(S) OF INSURANCE STIPULATED HEREIN. THE ABOVE COVERAGES ARE THE ONLY COVERAGES BOUND. <br />ANY COVERAGE REQUESTED IN THE APPLICATION THAT DIFFERS FROM THE ABOVE IS NOT INCLUDED. THE INSURANCE IS 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 />BY: Harvey Goldenberg, Authorized Representative (CA INS LIC # 0828615) <br />WekMmgmtaADMsfmt <br />� � €€REVIEWED &ppAPPPf4R4OVED BY: <br />Me <br />= <br />RNk.Management Analyst <br />