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Wesco Insurance Company <br />800 Superior Avenue East, 21 st Floor <br />FFA Cleveland, OH 44114 <br />COMMERCIAL COMMON POLICY DECLARATIONS SUMMARY PAGE <br />Policy Number WBP2043342 00 Policy Period From: 7/1/2024 To: 7/1/2025 <br />12:01 A.M. Standard Time at the Name Insured's Address <br />Transaction <br />Endorsement <br />Named Insured and Address Producer: 165873 <br />Limon Redwood City Inc DWNC, Inc. <br />DBA: Limon Rotisserie 1245 San Carlos Avenue Suite C <br />885 Middlefield Rd San Carlos CA 94070 <br />Redwood City CA 94063 Telephone: (844) 280-1425 <br />Business Description Type of Business Auditable ❑ Non -Auditable X❑ <br />Casual Dining - Family -style Restaurants - With Organization Including a <br />sales of alcoholic beverages up to 45% of total Corporation Audit Period Non -Auditable <br />sales <br />In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the <br />insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. <br />This premium may be subject to adjustment. <br />COVERAGE PART DESCRIPTION PREMIUM <br />Business Owners Policy $22,796.00 <br />Policy Premium $22,796.00 <br />Deposit Premium (if applicable) $22,796.00 <br />Taxes and Surcharges $0.00 <br />Total Deposit Premium $22,796.00 <br />(Includes Taxes, Surcharges, and applicable Terrorism Premium) <br />FORMS AND ENDORSEMENTS* <br />See Forms and Endorsements Schedule <br />*Entry optional if above in common policy declarations schedule <br />THESE DECLARATIONS TOGETHER WITH THE COVERAGE DECLARATIONS, COMMON POLICY CONDITIONS, <br />COVERAGE FORM(S) AND FORM(S) AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, <br />COMPLETE THE ABOVE NUMBERED POLICY. <br />ILDEC 0414 <br />7/23/2024 <br />Date Signature of Authorized Representative <br />ATTY/AGR.2024.192/Limon (885 Middlefield Rd) (Page 26 of 33) <br />Page 1 of 2 <br />