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CNA Connect <br />Endorsement Declaration <br />POLICY NUMBER COVERAGE PROVIDED BY <br />B 6025612892 VALLEY FORGE INSURANCE COMPANY <br />151 N Franklin <br />CHICAGO, IL 60606 <br />INSURED NAME AND ADDRESS <br />Gruen Associates <br />6330 SAN VICENTE BLVD STE 200 <br />LOS ANGELES, CA 90048 <br />AGENCY NUMBER <br />AGENCY NAME AND ADDRESS <br />034265 <br />NARVER ASSOCIATES INSURANCE AGENCY <br />419 MCGROATY ST <br />PO BOX 1509 <br />SAN GABRIEL, CA 91776 <br />Phone Number: (626)943-2200 <br />a <br />0 <br />0 <br />g BRANCH NUMBER <br />BRANCH NAME AND ADDRESS <br />240 <br />LOS ANGELES <br />WEDBUSH CENTER <br />1000 WILSHIRE BLVD 18 FL #1800 <br />LOS ANGELES, CA 90017 <br />c Phone Number: (877)400-0750 <br />m <br />8 <br />This policy becomes effective and expires at 12:01 A.M <br />e address on the dates shown above. <br />This endorsement changes your policy <br />B The Named Insured is a Corporation. <br />O <br />The Endorsement Premium Is <br />e <br />Terrorism Risk Insurance Act Endorsement Premium <br />e Audit Period is Not Auditable <br />INSURED <br />CNA <br />FROM - POLICY PERIOD - TO <br />06/01/2021 06/01/2022 <br />standard time at your mailing <br />Please read it carefully. <br />$13.00 ADDITIONAL <br />Rbh Murgeemlohab. <br />Y�1�NEY7D 6Avmw®Br '. <br />( %au �res,an <br />R¢k MarugermrtOmullYtle - <br />r ayc i tea. .a <br />