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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 Fireman's Fund Insurance Co. <br /> Policy Number USC010028200 <br /> Type of Insurance Commercial General Liability <br /> Claim Number SF-USCC03262520 <br /> Settled Amount NONE <br /> Insurance Company Name <br /> Policy Number <br /> Type of Insurance <br /> Claim Number <br /> Settled Amount <br /> Insurance Company Name <br /> Policy Number <br /> Type of Insurance <br /> Claim Number <br /> Settled Amount <br /> Insurance Company Name <br /> Policy Number <br /> Type of Insurance <br /> Claim Number <br /> Settled Amount <br /> WAIHINOTON EV E R E T T Everett CARES Small Business Grant Program I Round 3 page 9 <br />