Laserfiche WebLink
Liberty <br />Mutual, <br />IN@URANCa <br />Coverage In Provided In., <br />The Ohio Casualty Insurance Company . a stock company <br />Policy Change Endorsement <br />Number: <br />06) 88 86 40 08 <br />From ®8/81 /2016 To 08/81/2016 <br />Frr1/11tom0 0/206 o co X1/2018 <br />12;01 am Standard Time <br />of insured Melling Location <br />Named Insured & Mailing Addre88 Agont Meiling Address & Phone No <br />TOWNSEND PUBLIC AFFAIRS INC <br />1491 Rove St Ste 330 <br />Newport Beach, CA 92660 <br />(949) 263.9606 <br />EDCEWOOD PARTNERS INS CENTER SC <br />19000 MACARTHUR BLVD STE 900 <br />IRVINE, CA 92612.1447 <br />CHANGES TO POLICY - TRANSACTION 4 6 <br />This Polley Change Endorsement Results In A Change In The Charges As Follows: <br />Additional Premium $1,156.00 <br />Total Additional Charges $1,156.00 <br />Certifleci Aots of Terrorism Additional Charges $11.00 (lnoluded) <br />Note; Tidy Is not a trill <br />Description of Change(s) <br />ADDING FORM CG202A FORCITY OF SANTA ANA PERTHE <br />ATTACHED <br />See The Revised Declarations and Declarations Schedule <br />Sarvlcin® office Southern Cailfornle <br />and Issue Cate Authorized Representative <br />To report a claim, call your Agent or 1.800. 307.0000 <br />DS 70 27 0108 <br />nflma A WARM 200 AUNTCnPY 01120 PAU 1 nF 26 <br />