Laserfiche WebLink
<br />. <br />f....~ 31 0 I U3, UM!" <br /> <br />DlasnQ.~ig Ye~ Lebs.,Ine_ 6824238606 <br /> <br />p.3 <br /> <br />"-'- <br /> <br /> <br />. <br />ZURICH <br /> <br />ASSURANCE COMPANY OF AMERICA <br />PRECISION PORTFOLIO POLICY - COMMON oeCLARA liONS <br />PRECtSION AMERICA <br />SERVICE PROGRAM <br /> <br />Thi, polic;y c;onli,t. <If !he d..:lar&tions as well II !he cov,rage forma and endorsements <br />118('0 on the Forms and Endorse1l1entll Applicllble list <br /> <br /> <br />'w",', <br /> <br />'., '":,.,..,,..-:~;..'::'''"'' .... ....<,'y.: ,", <br /> <br />AOfNGY NAME ANO MAILING AODR!S5 <br /> <br />SCOTT STA/IFrIUI 0&.1: OIMallC VUUIIWIY <br />1401 SMH $IIIffT <br />U.Wi 1P0t CA 10805 <br /> <br />. -",-.':" ". """'<',"l:.t, .,<;~.;:;:, .".:.,j"; <br /> <br />1i'AH1iJlf & COIFAIlY <br />m E HILLCREST DR STE 260 <br />1110_ DAKS CA 913fO-mC <br />(IOl) ~Q.C-W/) <br /> <br />..',>..',..... <br /> <br /> <br />""::"'-';"-".'.' <br /> <br />BMJI/(;H NA/IIIl AND AODAr~S <br /> <br />~ICV PIiRIOQ <br /> <br />;',: $:W:~'~ """''''~ll:' ;~:':. ~"J'lj~~: :;'J.:'-'.'.'.'< <br /> <br />.....".~~(..;;.;..:.:':.:~ <br /> <br />";~<~;:!J ::'::-'1; '-:"""";;';,1,'" _, ,. <br /> <br />lllllOl RlINOUneN CI-IOlllt <br />3239 E U'E!lIAL HIGHWANUIl!; 307 <br />H.I CA 82821 <br />17lf' m-2$f2 <br /> <br />FROM <br />08/13f2QVl <br />12.:() 1 am <br /> <br />TO <br />U'lTI.. CANCaU:Df <br />NClN-~ <br /> <br />I BUSI~SS i/IITITY, 11Il1~IOOI.L <br /> <br />POl-ICV fIRrMUttS <br />In reM" fot' the p.vment of the premiUm, .1Id llLmJect to .11 the terms of ll'tls lIol11;:y, <br />WB .we. wilt! you tQ provide ihe insurenclI as state II in tnlll policy. <br />Th;. policy consiats of the fOllowinG ~"vllrllle part.. ThIs prumium may be 8\IOi"t to <br />odjll.~...t <br /> <br />~ <br /> <br />ClIIIIRCIAL PfIIlIERTY AMI GBlfRAI lIABlllfY <br /> <br />TOTAL ANNUAl.. PIlEMtJM <br /> <br />-...,' <br /> <br />Countersigned by <br /> <br />AVch.";jIt9a R""~...ntlltivo <br /> <br />DOle <br /> <br />~O'd LOO'ON 90:ST <br /> <br />'-I.J"J I'II,Ml,iah1ld .....ri.. II' In..... 1i_.,II" ~lll1ir, I.~.. ..ilh il. ~.''';'';I'''' <br />C''Iyr','', lllu'_.. I......... Ot4;.., I..~ 1.... <br />C"Pyrl."l MIrY'.... Cllu/ty e,m..." 1'3~ <br /> <br />IlISlIIfD'i Q)'Y <br />11.1 <br />T0f7L~S6f7TL:aI <br /> <br />oam,""Ol <br /> <br />Cor.M]N <br />f"- ~'fo~G'l' ac. '3:.00 <br /> <br />TO.T~ Sntf <br /> <br />OOZ tlNtI tllNtlS <br />