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Coverage Is Provided In: <br /> �\t <br /> • Li Policy Number:berty Ohio Security Insurance Company BKS (21) 61 51 17 54 <br /> Mutual Policy Period: <br /> INSURANCE From 07/01/2020 To 07/01/2021 <br /> 12:01 am Standard Time <br /> Liquor 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 CLASSIFICATIONS - BY LOCATION <br /> 0001 500 SE Everett Mall Way Ste B100, Everett, WA 98208-8112 <br /> Insured: SB SUSHI INC <br /> CLASSIFICATION - 58161 <br /> Restaurants, Hotels, Motels Including Package Sales <br /> RATED/PER <br /> COVERAGE DESCRIPTION PREMIUM BASED ON- PREMIUM <br /> Liquor Liability 12,484 Dollars Of Gross Sales 5.759 $72.00 <br /> Minimum Premium Adjustment $112.00 <br /> Total: $184.00 <br /> Liquor Liability Schedule Total $184.00 <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 16 OF 18 <br />