Laserfiche WebLink
Burn <br />Wilcox <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />_ Phone: (415) 421-4244 OR (800) 769-4855 Fax: (415) 421-0620 <br />DATE:417/2021 INSURANCE BINDER Page 2of4 <br />LIMITS / DEDUCTIBLES: <br />Loc Sub Coverage <br />General Aggregate <br />Products and Completed Operations <br />Each Occurrence <br />Personal and Advertising Injury <br />Medical Expense / Any One Person <br />Damage to Premises Rented to You 1 Each Occurrence <br />TOTAL CHARGES: <br />Premium: $ <br />Fee: $ <br />Tax: $ <br />Tax: $ <br />TOTAL: $ <br />EXCLUSIONS: <br />600.00 Commercial General Liability <br />200.00 Brokerage Fee (Fully Earned) <br />1.50 Stamping Tax <br />18.00 Surplus Lines Tax - Genl.iab <br />819.50 <br />SEE "ENDORSEMENTS" SECTION BELOW / NEXT PAGE <br />ENDORSEMENTS: <br />Deductible(s) <br />$2,000,000 <br />$2,000,000 <br />$1,000,000 $500 <br />$1,000,000 <br />$5,000 <br />$100,000 <br />Per Claim BI/PD <br />100% MINIMUM & DEPOSIT <br />MINIMUM RETAINED PREMIUM: <br />100.00 % EARNED <br />MINIMUM PREMIUM = $600.00 <br />Co Ins <br />we" RI®kMunO <br />•t REVIEWED <br />Risk Man <br />