HomeMy WebLinkAboutCOR-1998-Proof of Insurance - Naga
August 24, 1998 REDMOND GENERAL INSURANCE AGENCY, INC.
SMITH, MARTIN & LEWIS, INC.
Jeronimo Squires and Kay Reinhardt
dba Orrin F Drew Fine Printing
212 Commercial Ave
Anacortes, WA 98221
Dear Jeronimo and Kay:
Here are endorsements to your package insurance policy, adding
your new location and 212 Commercial in Anacortes, and deleting
675 Guemes island Rd. The premium change will be reflected on
your billings from the Travelers.
Let us know if you have any questions.
Thanks,
Janice an
for Lori Lone Kalda
I.
8435 161st Ave N E P.O Box 847•Redmond Washington 98052 e, L,,a '1
(425)685 2283 1-800-429-4144 FAX(425)885.6631 i
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; INSURANCE SUMMARY'
NAMED INSURED ORRIN F. DREW FINE PRINTING & THE LIVING MUSEUM
LETTERPRESS PRINTING
MAILING ADDRESS 675 GUEMES ISLAND RD, ANACORTES, WA 98221
TYPE OF POLICY COMMERCIAL PACKAGE POLICY
INSURING COMPANY THE TRAVELERS INSURANCE GROUP
POLICY NUMBER I660188AI941COF-97
POLICY TERM NOVEMBER 5, 1997 TO NOVEMBER 5, 1998
POLICY PREMIUM $ 552
I. PROPERTY:
A. 675 GUEMES ISLAND ROAD, ANACORTES, WA 98221
$ 87, 081 BUSINESS PERSONAL PROPERTY
SPECIAL FORM COVERAGE, WHICH PROTECTS YOUR PROPERTY AGAINST
ALL CAUSES OF DIRECT PHYSICAL LOSS NOT OTHERWISE LIMITED
OR EXCLUDED IN THE POLICY.
80% COINSURANCE
INFLATION GUARD: 4%
ACTUAL CASH VALUE BASIS
DEDUCTIBLE: $ 500
II. LIABILITY:
A. $ 500, 000 EACH OCCURRENCE
$1, 000, 000 GENERAL AGGREGATE OTHER THAN PRODUCTS/COMPLETED OPS
$1, 000, 000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE
$ 500, 000 PERSONAL & ADVERTISING INJURY
$ 50, 000 FIRE DAMAGE LIMIT
$ 5, 000 MEDICAL EXPENSE LIMIT
$ 500, 000 EMPLOYERS LIABILITY (STOP GAP)
$ 500, 000 NON-OWNED & HIRED AUTO LIABILITY
INCLUDES: PREMISES & OPERATIONS, PRODUCTS & COMPLETED OPERATIONS,
CONTRACTUAL LIABILITY, BROAD FORM PROPERTY DAMAGE, HOST LIQUOR
LIABILITY, ADDITIONAL PERSONS INSURED, EXTENDED BODILY INJURY,
INCIDENTAL MEDICAL MALPRACTICE, NON-OWNED WATERCRAFT LIABILITY
(LESS THAN 26 FEET)
EXCLUSIONS INCLUDE: EARTHQUAKE, FLOOD, EMPLOYMENT PRACTICES
LIABILITY
BASIS: PRINTING - $51, 500 ESTIMATED GROSS SALES
SUBJECT TO AUDIT
THIS IS A BRIEF OUTLINE ONLY. PLEASE REFER TO THE ACTUAL POLICY FOR
TERMS, CONDITIONS AND EXCLUSIONS.
LORI LONE KALDA, AAI
PRODUCER CHANGE EFFECTNE DATE: 05.22-98
- CHANGE ENDORSEMENT NUMBER:0002
One Tower Square, Hartford, Connecticut 06183 TiavplersPtopertgCmialty
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CHANGE ENDORSEMENT
Named Insured:
JERONIMO SQUIRES & KAY
REINHARDT DBA: ORRIN F . DREW
Policy Number: I-660-188A1941-COF-97
Policy Effective Date: 11/05/97
Issue Date: 07/16/98
Additional Premium $ 69
Effective from 05/22/98 at the time of day the policy becomes effective.
THIS INSURANCE IS AMENDED AS FOLLOWS:
ADD LOCATION AT 212 COMMERCIAL AVE, ANACORTES, WA 98221
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NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY:
REDMOND GEN INS AGCY INC (G4774)
PO BOX 847
REDMOND, WA 98073 t ied pre ive
DATE :
IL TO 07 09 87 PAGE 1 OF 1 OFFICE : SEATTLE
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PRODUCER CHANGE EFFECTNE DATE:06-3"8
CHANGE ENDORSEMENT NUMBER:OD03
One Tower Square, Hartford, Connecticut 06183 TravelersPropl- a G�J
CHANGE ENDORSEMENT
Named Insured:
JERONIMO SQUIRES & KAY
REINHARDT DBA: ORRIN F . DREW
Policy Number: I-660-i88A1941-COF-97
Policy Effective Date: 11/05/97
Issue Date: 07/16/98
Return Premium $ 52
Effective from 06/30/98 at the time of day the policy becomes effective.
THIS INSURANCE IS AMENDED AS FOLLOWS:
DELETED LOC. 001/001 - 675 GUEMES ISLAND ROAD, ANACORTES, WA 98221
AMENDED GL COVERAGE TO SHOW EXPOSURE @ NEW LOCATION - 212 COMMERCIAL
AVE . , ANACORTES, WA 98221
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NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY:
o� REDMOND GEN INS AGCY INC (G4774)
PO BOX 847 �: =
`= REDMOND, WA 98073 *Uthorized Representative
DATE :
IL TO 07 09 87 PAGE 1 OF 1 OFFICE : SEATTLE
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