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POLICY NUMBER: WBP2051742 01 <br />BUSINESS OWNERS <br />BP 12 01 07 02 <br />OPTIONAL COVERAGES <br />The following optional coverages are added under this policy when designated by an <br />"X" in the box es shown below <br />❑ Add'I Premium <br />Limits Of Insurance <br />C Return Premium <br />❑ Outdoor Signs <br />❑ Burglary and Robbery <br />(Named Peril Endorsement only) <br />or <br />❑ Money and Securities <br />Inside the Premises <br />Outside the Premises <br />❑ Employee Dishonesty <br />each occurrence <br />Mechanical Breakdown <br />❑ Boiler and Pressure Vessels <br />❑ Air Conditioning Units <br />TOTAL PREMIUM ADJUSTMENTS <br />PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE <br />ADDITIONAL RETURN <br />$0 $0 <br />REMOVAL If Covered Property is removed to a new location that is described on this Policy Change, you may extend this <br />PERMIT insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in <br />the proportion that the value at each location bears to the value of all Covered Property being removed. This permit <br />applies up to 10 days after the effective date of this Policy Change: after that, this insurance does not apply at the <br />previous location. <br />Authorized Representative Signature <br />BP 12 01 07 02 © ISO Properties, Inc., 2001 Page 2 of 2 <br />REV:03-30-26 VR <br />ATTY/AGR.2026.086/La Maja LLC (822 Main St) (Page 19 of 39) <br />