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Please provide information regarding any insurance policies and information regarding claims filed and paid,if any,in the designated <br /> spaces below.If no claim was filed under an insurance policy listed below,fill in the applicable blank with "None." <br /> µ�.r.�,•=n �rxu�=��� „d.��•.�.L.-0a��a�,��,._: ��n,�,.<Arr�,. ,. ��,,.n��a>�,,.a,.T, a.�.M,�, r, �,a��,�,.»HI�,.�,K �s..��,�� �a��� ��.a,.,�,�...� .,,�, _. .u._�r �„�N���, �,Ty,�,� .n�.,.�. r M.�,,,.,R �._as���s .����r._._ <br /> Insurance Company Name Liberty Mutual <br /> q <br /> Policy Number BKS57897992 <br /> Type of Insurance general liability <br /> , <br /> Claim Number None <br /> Settled Amount None <br /> • Insurance Company Name <br /> Policy Number , <br /> Type of Insurance <br /> • Claim Number <br /> w: <br /> n Settled Amount <br /> Insurance Company Name <br /> Policy Number <br /> Type of Insurance <br /> I Claim Number <br /> Settled Amount <br /> ; <br /> Insurance Company Name <br /> r <br /> Policy Number <br /> 0 <br /> Type of Insurance <br /> • Claim Number f <br /> r <br /> r <br /> Settled Amount r <br /> `: EVERETT Everett CARES Small Business Grant Program i Round 3 page 9 <br /> WASHINGTON <br />