Laserfiche WebLink
Coverage Is Provided In: Policy Number: <br /> '%` ' Liblt\ erty Ohio Security Insurance Company BKS (21) 61 51 17 54 <br /> r- Mutual <br /> Policy Period: <br /> INSURANCE From 07/01/2020 To 07/01/2021 <br /> Endorsement Period: <br /> From 07/09/2020 to 07/01/2021 <br /> Policy Change Endorsement 12:01 am Standard Time <br /> at Insured Mailing Location <br /> Named Insured Agent <br /> SB SUSHI INC (425) 741-3600 <br /> DBA TOKYO HOUSE SEATTLE BEST INSURANCE INC <br /> POLICY FORMS AND ENDORSEMENTS - CONTINUED <br /> This section lists the Forms and Endorsements for your policy. Refer to these documents as needed for detailed <br /> information concerning your coverage. <br /> FORM NUMBER TITLE <br /> CP 00 30 10 12 Business Income (And Extra Expense) Coverage Form <br /> CP 00 90 07 88 Commercial Property Conditions <br /> CP 01 26 10 12 Washington Changes <br /> CP 01 40 07 06 Exclusion of Loss Due to Virus or Bacteria <br /> CP 01 60 12 98 Washington Changes -Domestic Abuse <br /> CP 01 79 10 12 Washington Changes - Excluded Causes of Loss <br /> CP 04 40 06 07 Spoilage Coverage <br /> CP 10 30 10 12 Causes of Loss - Special Form <br /> CP 10 34 10 12 Exclusion of Loss Due To By-Products of Production or Processing Operations <br /> (Rental Properties) <br /> CP 88 04 03 10 Removal Permit <br /> CP 88 44 02 15 Equipment Breakdown Coverage Endorsement <br /> CP 90 30 01 15 Restaurant Custom Protector Endorsement <br /> CP 90 55 12 12 Business Income And Extra Expense Changes - Actual Loss Sustained In A <br /> Twelve-Month Period <br /> CP 90 59 12 12 Identity Theft Administrative Services and Expense Coverage <br /> Issue Date 07/27/20 Authorized Representative <br /> To report a claim, call your Agent or 1-844-325-2467 <br /> DS70270108 <br /> 07/27/20 61511754 N0179270 230 NCXHPPNO INSURED COPY 002601 PAGE 4 OF 18 <br />