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American Family Insurance-Business Insurance <br /> AMERICAN FAMILY Underwritten by: Midvale Indemnity Company <br /> In+ s u R A N C E an Illinois Stock Company <br /> Johnny Lim Agency <br /> PO Box 5316 <br /> Binghamton, NY 13902 <br /> 866-908-0626 <br /> Information as of: 01/12/2018 <br /> POLICY DECLARATIONS <br /> This document and your policy contract define our insuring agreement. In return for payment of premium and <br /> subject to all the terms of this policy,we agree to provide you insurance as stated in the policy. <br /> Policy Information <br /> Named Insured: TUANH NHAT NGUYEN Policy Number: BPP1014093 <br /> E-mail Address: Policy Type: Business Owner's Policy(BOP) <br /> tuanhhuan@aol.com Policy Period: 09/07/2017 to 09/07/2018 12:01AM <br /> Phone: (206)229-4610 Standard Time at Primary Location <br /> Location Information <br /> Location #1 (primary location) <br /> Address: 6121 176TH ST SW#E STE E <br /> LYNNWOOD, WA 98037 <br /> Mortgage Holder: <br /> Mailing Address: <br /> Coverage Information (applies to all buildings at Location#1 ) <br /> Business Personal Property Limit: $5,000 <br /> Deductible (applies per location, per occurrence): $500 <br /> Windstorm or Hail Percentage Deductible (applies <br /> per location, per occurrence): Not Applicable <br /> Policy Coverage (limits& deductibles shown are non-stackable across locations) <br /> Limit of Insurance Deductible <br /> Liability Coverage <br /> Liability and Medical Expenses (per-occurrence limit/annual $2,000,000/$4,000,000 None <br /> aggregate limit): <br /> Damage to Premises Rented to You $50,000 None <br /> Medical Expenses (per person) $5,000 None <br /> Property Coverage <br /> Business Income& Extra Expense 12 months actual loss None <br /> sustained <br /> Personal Property Off-Premises $10,000 $500 <br /> BID BP 1001 07 17 Page 1 of 3 <br />