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SM <br />BUSINESSOWNERS DECLARATION <br />JSINESSOWNERS RENEWAL DECLARATIONS <br />RENEWAL OF OH3 A140814 <br />Hanover <br />Insurance Group- <br />Policy Number <br />Policy Period <br />From To <br />Coverage is Provided in the <br />Agency Code <br />OH3-A140814-10 <br />10/31/2021 10/31/2022 <br />HANOVER INSURANCE COMPANY <br />100163700 <br />Named Insured and Address <br />GRAVES & KING, LLP <br />P.O. BOX 1548 <br />RIVERSIDE, CA 92502 <br />Agent <br />951-368-0700 <br />GALLANT RISK & INSURANCE <br />SERVICES INC. <br />4160 TEMESCAL CANYON RD <br />CORONA, CA 92883 <br />Additional Property Coverages and Extensions: <br />See attached Schedule for Additional Coverages provided for under this Policy. <br />Additional Liability Coverages: General Liability Broadening Endorsement <br />General Liability Class: 85097 <br />Description: ATTORNEYS OFFICES <br />Liability Exposure: 2,400 Sq.FT <br />Policy Forms, Endorsements and Optional Coverages Attached: <br />See Forms and Endorsements Schedule <br />TOTAL BOP COVERAGE PREMIUM: $2,509.00 <br />BOP TERRORISM COVG (INCLUDED IN TOTAL POLICY PREMIUM) $ 15.00 <br />OTHER THAN FIRE FOLLOWING NOT COVERED <br />FIRE FOLLOWING $ 15.00 <br />TOTAL UMBRELLA COVERAGE PREMIUM: $1,275.00 <br />UMB TERRORISM COVG (INCLUDED IN TOTAL POLICY PREMIUM) NOT COVERED <br />TOTAL POLICY PREMIUM IS: $3,784.00 <br />Countersigned this _ Day of <br />Authorized Representative <br />This Declarations Page with the Policy Contract, Forms and Endorsements_ if anv. <br />Complete the Policy. RiMougemadsk 7 ekREMDVED&APPRW Sr <br />Date Issued: 08/27/2021 ORIGINAL/INSURED Payment Type: DIRECT BILL <br />i <br />391-1002 0816 Ruk Management SPeciaes[ <br />