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PROOF OF INSURANCE (2024) CLOSED
Avo HISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) ericouf'"age COuIIrage-, 104 South Michigan Avenue, Suite 600, Chicago, Illinois 60603 Commercial General Liability Declarations In return for the payment of the premium, and subject to all the terms of this Policy, we agree with you to provide the insurance as stated in this Policy. Declaration effective from; May 20, 2023 Policy No.: m. P100.278.491.13 Renewal of: P100.278.491.12 Named Insured: Firestats LLC Address: __..................... 78 Sutton Way, #353 rc-rass Valley, CA 95945 Email Address: paul@firestats.com Policy period: May 20, 2023 To: May 20, 2024 From: At 12:01 A.M. (Standard Time) at the address shown above. Form of Business: Limited Liability Company Each Occurrence Limit: . _. $2,000,000 .......................................... Damage to Premises Rented to You Limit: $100,000 Any one premises Medical Expense Limit: _ .......................__..._ $5,000 Any one person Personal & Advertising Injury Limit: ........ ........ .... $2,000,000 Any one person or organization General Aggregate Limit: .......... $2,000,000 Products/Completed Operations Products -completed operations are subject to the General Aggregate Limit Aggregate Limit: Supplemental Business Personal Property Floater $0 Coverage Limit: Supplemental Business Personal Property Floater Not Applicable Coverage Deductible: m--- --_ All Premises You Own, Rent or Occupy Premises Number: 1 Address: 578 Sutton Way, #353 Grass Valley, CA 95945 Total Premium, 500.00 Attachments: See attached Forms and Endorsements Schedule, CGL D001 10 18 Includes copyrighted material of Insurance Services Office, Inc., with Page 1 its permission. @ ISO Properties, Inc., 2000 HISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) enotira ge Cfturagor 104 South Michigan Avenue, Suite 600, Chicago, Illinois 60603 IN WITNESS WHEREOF, the Insurer indicated above has caused this Policy to be signed by its President and Secretary, but this Policy shall not be effective unless also signed by the Insurer's duly authorized representative. President Secretary Authorized Representative CGL D001 10 18 Includes copyrighted material of Insurance Services Office, Inc., with Page 2 its permission. © ISO Properties, Inc., 2000