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Commercial Inland Marine Declarations 0 <br />Entertainment Program Z '. I (: <br />This insurance is provided by: Zurich American Insurance Company (A stock insurance company) <br />1299 Zurich Way <br />Schaumburg, IL 60196 <br />800-382-2150 <br />Policy Number: FLM1084498-00 <br />Renewal Of: NEW <br />Item 1. Named Insured and Mailing Address Agent Name and Address <br />SHOFAR LLC f.s.o. Slum Village Abacus Insurance Brokers, LLC <br />56655 Grand River Ave 2512 Wilshire Boulevard <br />New Hudson, MI 48165 Santa Monica, CA 90403 <br />Item 2. Policy Period From: 06/18/2022 To: 06/19/2022 At 12:01 AM Standard Time at the Mailing Address <br />Shown Above <br />In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the <br />insurance as stated in this policy. This policy consists of the coverages shown in Item 3. for which a premium is <br />indicated. This premium may be subject to audit. <br />Item 3. Coverages, Limits Of Insurance and Deductibles: <br />See Schedule on the following page(s). <br />Item 4. Policy Premium <br />Premium (from Item 3.) $ 240.00 <br />Terrorism $ 2.00 <br />$ n/a <br />$ n/a <br />Total Premium $ 242.00 This premium does not include Taxes, Surcharges or Fees. <br />Deposit Premium $ 242.00 <br />Taxes, Surcharges or Fees $ Not Applicable <br />Item 5. Form(s) and Endorsement(s) made a part of the policy at time of issue: <br />See Schedule of Forms and Endorsements attached. <br />Date of Issue: 06/13/2022 Countersigned By: <br />Authorized Representative <br />THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART <br />DECLARATIONS, COVERAGE PART FORM(S), FORMS AND ENDORSEMENTS, IF ANY, ICCI ICn -rn Enonn A MAO-r <br />THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. RA Muagment DMsian <br />o N,`P' REVIEWED & APPROVED BY. <br />e eev <br />--' Risk Management Specialist <br />Includes copyrighted material of Insurance Services Office, Inc., with its permissic <br />