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POLICY NIJMBE,R 8 H4 AZC 80803089 <br />RENEWAL CERTIFICATE <br />Named Insured <br />ADVANCED CRITICAL CARE, SESHADRI <br />RENEWAL CERTIFICATE Continued <br />PREMIUM SUMMARY: <br />This policy is being renewed at rates in effect on the date of renewal. This <br />Policy may be subject to premium adjustment per policy terms. Read your policy <br />carefully. <br />Estimated Annual Premium $26,919.00 <br />Premium Due at inception $26,919.00 <br />Terrorism Risk Insurance Act ( "The Act ") - Certified Acts Coverage - <br />All Coverages Subject to the Act Exel WC and Umbrella - <br />Covered $436 <br />This Policy may be subject to Premium Adjustment per Policy Terms. <br />A $10 INSTALLMENT FEE WILL BE ADDED TO EACH INSTALLMENT INVOICE. <br />LOCATIONS OF PREMISES -- Applicable to Coverages specified in these Declarations <br />(Not applicable to WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY) <br />LOC. <br />001 2965 EDINGER AVE <br />TUSTIN CA 92780 ORANGE (CNTY) <br />002 3021 EDINGER AVE <br />TUSTIN CA 92780 ORANGE (CNTY) <br />RC - 2 <br />