Laserfiche WebLink
Page l <br />SUMMARY OF INSURANCE Prepared: <br />5/22/2012 <br />For Queen Beach Printers PIASC Insurance Services, Inc. <br />c/o Nick Edwards P.O. Box 910936 <br />937 Pine Ave Los Angeles, CA <br />Long Beach, CA 90091-0936 323-728-9500 <br />9081313325 562-436-8201 <br />Coverage <br />Amount <br />Company ' <br />Policy No <br />Eff <br />Exp <br />Premium <br />Workers Compensation <br />Preferred Employers Ins. Co. <br />WKN139014-3 <br />01/01/12 <br />01/01/13 <br />48,568.00 <br />Named States: CA <br />Employer's Liability <br />Each Accident <br />1,000,000 <br />Disease Policy Limit <br />1,000,000 <br />Disease Each Employee <br />1,000,000 <br />Other States: CA <br />Individual Included/Excluded <br />Nick Edwards EXCL <br />William Edwards EXCL <br />William Edwards, Jr. EXCL <br />All States <br />Total Est. Annual Prem. <br />50,835 <br />Minimum Premium <br />Deposit Premium <br />269,406 <br />-" <br />See Attached Rating Information�0^ <br />yo-BM <br />sb-1 98 <br />fsa� <br />L <br />litional remarks are in notepad #0167 <br />K <br />XS A E. S�O <br />Ctty AtRCtorin <br />! <br />1 <br />AS <br />Stat <br />f / <br />