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BUSINESSOWNERS <br /> BP DS 01 07 13 <br /> BUSINESSOWNERS POLICY DECLARATIONS <br /> POLICY NUMBER:BBP0001661-01 RENEWAL OF:BBP0001661-Tu <br /> Company Name:'General Casualty Company of Wisconsin <br /> One QBE Way <br /> Sun Prairie, WI 53596 <br /> Producer Name:Calrose Insurance <br /> 3417 Broadway Ave Ste A <br /> Everett, WA 98201 <br /> On behalf of Arrowhead General Insurance Agency, Inc. <br /> Named Insured: SHEAR PERFECTION INC <br /> Mailing Address: 2120 19TH STREET <br /> EVERETT, WA 98201 <br /> Policy Period <br /> From: 11/08/2019 <br /> To: 11/08/2020 At 12:01 AM* Standard Time at your mailing address shown above <br /> *Exceptions: 12:00 PM in Michigan and North Carolina <br /> Premises Information <br /> Premises Building Premises Address: <br /> Number Number 2120 19TH ST <br /> EVERETT, WA 98201 <br /> Premises Building Mortgageholder Name: <br /> Number Number <br /> Mortgageholder Address: <br /> Description Of Business <br /> Form Of Business: ❑ Individual 0 Partnership ❑ Joint Venture ❑ Limited Liability Company <br /> 0 Organization, Including A Corporation(but not including a partnership, joint venture or <br /> limited liability company) <br /> ❑ Trust ❑ Other <br /> Business Description: Processing and Service Risks <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, <br /> WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> Issued: ;8/18/2020 <br /> BP DS 01 07 13 0 Insurance Services Office, Inc., 2012 Page 1 of 5 0 <br />