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EXTENSION OF THE INFORMATION PAGE - ITEM 1 - OTHER <br />WORKPLACES <br />Policy Number: 46 WEC P16280 Endorsement Number: <br />Effective Date: 07/20/21 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: PLANETBIDS INC <br />13263 VENTURA BLVD STE 101 <br />STUDIO CITY CA 91604 <br />Item 1 of the Information Page is completed to include other workplaces of the named insured: <br />1401 MARINA WAY S, RICHMOND, CA 94804-3723 <br />3225 NORTH HARBOR DRIVE, SAN DIEGO, CA 92101 <br />1685 MAIN ST, SANTA MONICA, CA 90401 <br />WOS RMOTE WORK, SAN DIEGO, CA 92112-8488 <br />3420 S KICKAPOO AVENUE, SPRINGFIELD, MO 65804 <br />636 HAMLET DR, AVON, IN 46123-8452 <br />50 FRIDA KAHLO WAY, SAN FRANCISCO, CA 94112-1821 <br />Form WC 99 03 66 Printed in U.S.A. <br />Process Date: 06/10/21 Policy E <br />Riele Management DMslun <br />Rwn & APPRovm By., <br />f4x*�: Z VW-A4� <br />Ruk Management Marys[ <br />