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FARMERS <br /> Farmers Insurance Group of Companies <br /> Business Name: MARIMBA RESTAURANT LLC <br /> Policy#: 604677910 <br /> Insured Today's Effective <br /> Name: MARIMBA RESTAURANT LLC Date: 07/24/2020 Date Of 07/24/2020 <br /> Change: <br /> Address: 1405 HEWITT AVE Agent 79-01-23X <br /> Number: <br /> EVERETT,WA 98201 Agent: Monica <br /> Baldoceda <br /> Agent 206-783- <br /> Phone#: 6664 <br /> Policy Change Summary <br /> i Change Type Change Description <br /> IAdditional Insured-J7238-ED1 <br /> Designated Person or Organization <br /> City of Everett <br /> Add Additional Interest and(Waiver of Rights) 2930 Wetmore Ave <br /> Everett,WA 98201 <br /> Location:1405 HEWITT AVE <br /> EVERETT,WA 98201 <br /> "This is only a proposal for insurance, and is not an insurance policy, or part of or incorporated into an <br /> insurance policy. The coverages summarized in this quote proposal are based on information received <br /> through the prospective insured and may not include all available coverages.Coverage descriptions are <br /> abbreviated and do not indicate in force coverage. The need for any additional or optional coverages <br /> should be discussed with your insurance agent. The issuance of an insurance policy contract with the <br /> actual premium amount is contingent upon the application of underwriting criteria and is subject to rates <br /> approved or mandated by the appropriate state regulatory authority. Only the insurance policy would <br /> provide coverage and its terms and conditions supersede this proposal. In the event of any conflict <br /> between this proposal and the policy language,the policy language would prevail." <br />