Laserfiche WebLink
<br />A - CCU -c;? T-5`1) <br />AGENT ADDRESS: GARDEN GROVE CA 92842 001 <br />POLICY PERIOD: FROM 04-01-10 TO 0401-11 12:01 A.M. Standard Time <br />EFFECTIVE DATE OF CHANGE: 02-08-11 12:01 A.M. Standard Time <br />NOT A STATEMENT - YOUR BILLING WILL FOLLOW TOTAL PREMIL <br />************************** LOCATION / BUILDING ***************** NO. 023000 <br />LOC/BLDG DESCRIBED PREMISES <br />09 01 1801 E CHESTNUT AVE SANTA ANA CA <br />RESTAURANT <br />CHANGED DESCRIPTION <br />FROM : RESTURANT <br />TO : RESTAURANT <br />************************** ADDITIONAL INSURED ****************** NO. 024000 <br />THE CITY OF SANTA ANA AND THEIR RESPECTIVE OFFICERS, <br />CHANGED OLD ADDRESS <br />FROM : EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />TO : SEE BLANK ENDORSEMENT PB2500 <br />****************************** ENDORSEMENT ******************************** <br />ADDED ENDORSEMENT FORM <br />FORM PB2500 EDITION DATE 0101 <br />A COPY OF THIS FORM IS ATTACHED <br />AGENT NAME: RIGHT INSURANCE MARKETING 84 51215 NO CHARGE $ .00 <br />Allied <br />Insurance AMCO INSURANCE COMPANY ALLIED SERIES <br />a Nationwide' company <br />On Your Side* <br />CHANGE OF DECLARATIONS ENDORSEMENT - PLEASE READ CAREFULLY. <br />POLICY NUMBER ACP BPF 7842162960 PREMIER BUSINESSOWNERS POLICY <br />NAMED INSURED: NDT, INC. AND KNOWLWOOD ENTERPRISES, INC. - DBA <br />KNOWLWOOD <br />MAILING ADDRESS: 17654 NEWHOPE ST STE H <br />FOUNTAIN VALLEY, CA 92708-4294 <br />A <br />O_ <br />b <br />PREMIUM <br />$ .00 <br />$ .00 <br />DIRECT BILL L87M 11041 AGENT COPY 957519450 78 07784