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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 /> Insurance Company Name Wikit <br /> Policy Number <br /> Type of Insurance <br /> Claim Number rvirnt <br /> Settled Amount 14,41 ,1 <br /> Insurance Company Name 1\4.: <br /> Policy Number ink/0 t; <br /> Type of Insurance INnkft <br /> Claim Number 0-71 <br /> Settled Amount CrYtt, <br /> Insurance Company Name jJtrYt <br /> Policy Number <br /> Type of Insurance <br /> Claim Number rvvyt.„C <br /> Settled Amount 11/4.1 <br /> Insurance Company Name <br /> Policy Number 411-01- <br /> Type of Insurance <br /> Claim Number <br /> Settled Amount VLArnk <br /> EVERETT Everett CARES Small Business Grant Program Round 3 page 9 <br /> ma WASHINGTON <br />