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POLICY NUMBER: BBP0001661-01 BUSINESSOWNERS <br /> BP12010702 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> BUSINESSOWNERS POLICY CHANGES <br /> THIS ENDORSEMENT FORMS A PART OF THE POLICY NUMBERED BELOW. <br /> Endorsement No: <br /> POLICY NUMBER POLICY CHANGES COMPANY <br /> EFFECTIVE General Casualty Company of Wisconsin <br /> BBP0001661-01 08/07/2020 <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> SHEAR PERFECTION INC Calrose Insurance <br /> 2120 19TH STREET 3417 Broadway Ave Ste A <br /> EVERETT, WA 98201 Everett, WA 98201 <br /> CHANGES <br /> In consideration of the additional premium shown, it is understood and agreed that the <br /> policy is amended as follows: <br /> The following coverages are added: <br /> Additional Insured - Designated <br /> Person Or Organization: City of <br /> Everett, its off <br /> The following forms are added: <br /> BP DS 01 (07-13) Businessowners Policy Declarations <br /> BP 04 48 (07-13) Additional Insured - Designated Person Or Organization <br /> The following forms are deleted: <br /> BP 04 19 (07-13) Amendment - Liquor Liability Exclusion - Exception For Scheduled <br /> Premises Or Activities <br /> All other terms and conditions remain unchanged. <br /> POLICY AMOUNT AND PREMIUM ADJUSTMENT <br /> Limits Of Insurance Premiums <br /> Coverage Previous Limit New Limit Previous New Additional/Return <br /> Description Of Insurance Of Insurance Premium Premium Premium <br /> Changes to Policy Amount and Premium Adjustment as shown above. <br /> BP 12 01 07 02 © ISO Properties, Inc., 2001 Page 1 of 2 ❑ <br />