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afr <br /> Coverage Is Provided In: <br /> `ti Policy Number: <br /> f Liberty 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 /> 12:01 am Standard Time <br /> Commercial General Liability at Insured Mailing Location <br /> Declarations Schedule -Revised <br /> Named Insured Agent <br /> SB SUSHI INC (425) 741-3600 <br /> DBA TOKYO HOUSE SEATTLE BEST INSURANCE INC <br /> SUMMARY OF OTHER COVERAGE - continued <br /> COVERAGE DESCRIPTION PREMIUM <br /> CG20110413 Additional Insured - Managers or Lessors of Premises $44.00 <br /> Commercial General Liability Schedule Total $1,505.00 <br /> To report a claim, call your Agent or 1-844-325-2467 <br /> 07/27/20 61511754 N0179270 230 NCXHPPNO INSURED COPY 002601 PAGE 13 OF 18 <br />