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POLICY NUMBER INSURED NAME AND ADDRESS <br /> B 6025006492 Althea's Footwear Solutions, Inc. DBA AFS Health Innovations <br /> 1932 BROADWAY <br /> EVERETT, WA 98201 <br /> FORMS AND ENDORSEMENTS SCHEDULE <br /> The following list shows the Forms, Schedules and Endorsements by Line of Business that are <br /> a part of this policy. <br /> COMMON <br /> The following forms have been added to your policy, effective 08/03/2020 <br /> FORM NUMBER FORM TITLE <br /> CNA85710XX 06/2016 Unmanned Aircraft Exclusion Endorsement <br /> G56015B 11/1991 ENDORSEMENT EFFECTIVE 08/03/2020 <br /> COMMERCIAL GENERAL LIABILITY <br /> The following forms have been added to your policy, effective 08/03/2020 <br /> FORM NUMBER FORM TITLE <br /> SB300113D 06/2016 Addl Insured - Designated Person or Organization <br /> 11111 <br /> Emmim <br /> Countersignature <br /> EEE <br /> Chairman of the Board `� Secretary <br /> SB-146895-A (Ed. 01/06) INSURED Page 3 of 3 <br />