Laserfiche WebLink
'OkMutualLiberty <br />. <br />INSURANCE <br />Named Insured <br />Coverage Is Provided In: <br />West American Insurance Company - a stock company <br />Policy Change Endorsement <br />GERALDINE VALENCIA <br />DBA: G STARS DANCE AND GYMNASTICS <br />Policy Number: <br />BKW (21) 60 62 24 66 <br />Policy Period: <br />From 01/01/2020 To 01/01/2021 <br />Endorsement Period: <br />From 01/01/2020 to 01/01/2021 <br />12:01 am Standard Time <br />at Insured Mailing Location <br />(714) 288-8000 <br />AA LARES INSURANCE SERVICES INC <br />POLICY FORMS AND ENDORSEMENTS - CONTINUED <br />This section lists the Forms and Endorsements for your policy. Refer to these documents as needed for detailed <br />information concerning your coverage. <br />FORM NUMBER TITLE <br />CP 72 97 04 02 <br />Equipment Breakdown Enhancement Endorsement - Special Form <br />CP 88 00 07 10 <br />Property Extension Endorsement <br />CP 88 04 03 10 <br />Removal Permit <br />CP 90 59 12 12 <br />Identity Theft Administrative Services and Expense Coverage <br />CP 92 01 05 17 <br />Property Anti -Stacking Endorsement <br />IL 00 17 It 98 <br />Common Policy Conditions <br />IL 00 21 0908 <br />Nuclear Energy Liability Exclusion Endorsement (Broad Form) <br />IL 01 02 05 05 <br />California Changes - Actual Cash Value <br />IL 01 04 09 07 <br />California Changes <br />IL 02 7009 12 <br />California Changes - Cancellation and NonRenewal <br />IL 04 15 04 98 <br />Protective Safeguards <br />IL 09 35 0702 <br />Exclusion of Certain Computer -Related Losses <br />IL 09 52 01 15 <br />Cap On Losses From Certified Acts Of Terrorism <br />IL 09 96 01 07 <br />Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical <br />Terrorism (Relating to Dispostion of Federal Terrorism Risk Insurance Act) <br />LC 87 10 05 00 <br />Punitive or Exemplary Damages Exclusion <br />REVIEWED & MPP ovED <br />gy IiISV MANAG <br />&IL 1 <br />Issue Date 01/23/20 Authorized Representative <br />To report a claim, call your Agent or 1.844-325.2467 <br />DS 70 27 01 08 <br />m n1nn nnR99NIR Nnnn iqR 9Rn NrAFPPNn INRIIRpn enpv nn919R PGGF a nF I) <br />