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TRAVELERSJ� <br />COMMON POLICY DECLARATIONS <br />OFFICE PAC <br />BUSINESS:INSURANCE AGENT <br />One Tower Square, Hartford, Connecticut 06183 <br />POLICY NO.: 680-8X765120-24-42 <br />ISSUE DATE: 02/16/2024 <br />INSURING COMPANY: <br />TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA <br />1. NAMED INSURED AND MAILING ADDRESS: <br />DRF SOLUTIONS GROUP LLC & <br />AND AS PER IL T8 00 <br />170 DOGWOOD LN <br />VALLEJO CA 94591-8056 <br />2. POLICY PERIOD: From 03/19/2024 to 03/19/2025 12:01 A.M. Standard Time at your mailing address. <br />3. DESCRIPTION OF PREMISES: <br />PREM. <br />LOC. BLDG. ADDRESS <br />NO. NO. OCCUPANCY (same as Mailing Address unless specified otherwise) <br />001 001 INSURANCE AGENT 170 DOGWOOD LN <br />VALLEJO <br />CA 94591-8056 <br />4. COVERAGE PARTS AND SUPPLEMENTS FORMING PART OF THIS POLICY AND INSURING <br />COMPANIES <br />COVERAGE PARTS and SUPPLEMENTS <br />Businessowners Coverage Part <br />INSURING COMPANY <br />ACJ <br />5. The COMPLETE POLICY consists of this declarations and all other declarations, and the forms and endorse - <br />ments for which symbol numbers are attached on a separate listing. <br />6. SUPPLEMENTAL POLICIES: Each of the following is a separate policy containing its complete provisions. <br />POLICY <br />DIRECT BILL <br />7. PREMIUM SUMMARY: <br />Provisional Premium <br />Due at Inception <br />Due at Each <br />NAME AND ADDRESS OF AGENT OR BROKER <br />GORST AND COMPASS INS SERV <br />5850 CANOGA AVE STE 650 <br />CQW00 <br />POLICY NUMBER <br />$ 619.00 <br />WOODLAND HILLS CA 91367-6573 <br />IL TO 19 02 05 (Page 1 of 01) <br />Office: BREA/LA/ORANGE CA DOWN <br />COUNTERSIGNED BY: <br />Authorized <br />DATE: 02/16/202, <br />INSURING COMPANY <br />R1AMmsgmwdDM,1on <br />REVIE &AV Room BY: <br />® <br />Risk Management spenAist <br />