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CNA Connect <br />Endorsement Declaration <br />POLICY NUMBER <br />B 6011408514 <br />COVERAGE PROVIDED BY <br />VALLEY FORGE, 'INSURANCE COMPANY <br />333 S. WABASH <br />CHICAGO, IL. 60604 <br />INSURED NAME AND ADDRESS <br />HOLISTIC YOGA & HEALTH LLC <br />10015 GARDEN GROVE BLVD <br />GARDEN GROVE, CA 92844 <br />AGENCY NUMBER AGENCY NAME AND ADDRESS <br />055542 EG INSURANCE AGENCY INC <br />616 S EUCLID ST <br />ANAHEIM, CA 92802 <br />Phone Number: (714)533-7089 <br />BRANCH NUMBER BRANCH NAME AND ADDRESS <br />240 .LOS ANGELES <br />WEDBUSH CENTER <br />1000 WILSHIRE BLVD 18 FL #1800 <br />LOS ANGELES, CA 90017 <br />Phone Number: (877)400-0750 <br />" kr CNA <br />`= 4 <br />FROM - POLICY PERIOD - TO <br />04/21/2016 04/21/2017 <br />This policy becomes effective and expires at 12:01 A.M. standard time at your mailing <br />address on the dates shown above. <br />This endorsement changes your policy. Please read ibwepj�ly. <br />This Endorsement Results In No Change In Premiur?'e" <br />The Named Insured is a Limited Partnership. <br />Audit Period is Not Auditable <br />PAIN'timer <br />INSURED Faze - of 3 <br />