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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 /> .,,Irc,. ,.,,,.S.-,Wt....*ma x.. .,, �bl.. e,.W:w. .. ,N. A..,,,.1. �,: «,, «i , I ..:nw, ,. :.,:. F . <br /> Insurance Company Name Progressive Advantage Business Program i <br /> Policy Number BPP1077085 <br /> Type of Insurance Commercial General Liability <br /> Claim Number None <br /> Settled Amount None <br /> Insurance Company Name n/a , <br /> Policy Number n/a <br /> Type of Insurance n/a t <br /> Claim Number <br /> n/a <br /> I <br /> Settled Amount n/a 1 <br /> ...:Insurance Cornpany Name <br /> n/a <br /> i <br /> Policy Number n/a <br /> Type of Insurance n/a <br /> Claim Number n/a <br /> I <br /> Settled Amount n/a <br /> Insurance Company Name n/a <br /> Policy Number n/a 1 <br /> Type of Insurance n/a <br /> i <br /> Claim Number n/a <br /> l <br /> Settled Amount n/a t <br /> 112.1611 E V E R E T T Everett CARES Small Business Grant Program Round 3 page 9 <br /> WASHINGTON <br />