Laserfiche WebLink
6.E. - Page 15 of 18 <br />IL120111BSA <br />. <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY HAN ES <br />PoItcy Change Number: 8 <br />POLICY NUMBER <br />POLICY CHANGES <br />COMPANY <br />5075-1268 <br />EFFECTIVE <br />Allied Wold Surplus Lines nsurance <br />111/2019 <br />Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />alifomia PDlice ArtMtias League <br />i <br />CCVERAGE PARTS AFFECTED <br />General Liability <br />CHANGES <br />Th!s policy Es hereby endorsed to make the following charnges: <br />Effective 0110112019 add CG 20 26 acid Priniaryflon-Contributory wording <br />For an addittional premium of $151.00 <br />All other terms and conditions remain the same, <br />Process Date, 21712 I9 <br />CA SL TaX $4,53 <br />CA Stamp Fee $0.30 <br />NSM Filing Fee $0.00 <br />Total Premium $155,53 <br />1L 12 01 1186 Copyright, Insurance Seryice S Office, Ino -, 1983 Page 1 of 1 0 <br />Copyright, 130 Commercial Risk Services, Inc., 1983 62 <br />