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Hanover <br />Insurance Group_ <br />ADDITIONAL INTEREST SCHEDULE <br />BUSINESSOWNERS RENEWAL DECLARATIONS <br />33 <br />RENEWAL OF OH3 A140814 <br />Policy Number Policy Period Coverage is Provided in the Agency Code <br />From To <br />01-13-A140814-10 10/31/2021 10/31/2022 tHANOVER INSURANCE COMPANY 100163700 <br />Named Insured and Address <br />GRAVES & KING, LLP <br />P.O. BOX 1548 <br />RIVERSIDE, CA 92502 <br />Name And Address <br />CANON FINANCIAL SERVICES, <br />INC., LEASE NO: 0010737411001 <br />PO BOX 3547 <br />BELLEVUE, WA 98009 <br />CANON FINANCIAL SERVICES, <br />INC., LEASE NO: 0010737411001 <br />PO BOX 3547 <br />BELLEVUE, WA 98009 <br />T&C BUILDING <br />3610 14TH ST., #2 <br />RIVERSIDE, CA 92501 <br />Form 391-1014 (7-99) <br />Date Issued: 08127/2021 <br />Agent <br />951-368-0700 <br />GALLANT RISK & INSURANCE <br />SERVICES INC. <br />4160 TEMESCAL CANYON RD <br />CORONA, CA 92883 <br />Interest Type <br />LOSS PAYEE <br />LOSS PAYEE <br />MORTGAGEE <br />ORIGINAL/INSURED <br />Location Building <br />001 01 <br />002 01 <br />002 01 <br />� <br />•% <br />liieleMvogeinvitiTviaiwi <br />REviE &APPROV®aV: <br />® <br />Risk Management Spedalist <br />