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COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS <br />Policy No. SE 2016099 Effective DaIe: 0512512023 <br />12:01 STANDARD TIME <br />LIMITS OF INSURANCE <br />Each Occurrence Limit <br />Personal & Advertising lnjury Limit (Any One Person/Organization) <br />Medical Expense Limit (Any One Person) <br />Damages To Premises Rented To You (Any One Premises) <br />Products/Completed Operations Aggregate Limit <br />General Aggregate Limit <br />$1,000,000 <br />$1,000,000 <br />$1,ooo <br />$100,000 <br />See L-535 <br />$2,000,000 <br />LIABILITY DEDUCTIBLE $o <br />LOCATIONS OF ALL PREMISES YOU OWN, RENT OR OCCUPY <br />Location Address <br />Railroad Street From Cross Street To Depot Street, Easton, WA 98925 <br />Territory <br />1 002 <br />PREMIUM COMPUTATION <br />Evt # Classification Code No. Premium Basis Pr/Co <br />Advance Premium <br />AIlOther Pr/Co AllOther <br />1 Parade (applicant is the host of the event) 00414 1,000 Attendees N/A 550.000 <br />Set-up and/orTake-down Coverage 00442 Per Event N/A 165.000 <br />Additional lnsured - Blanket - Special Events 49950 1 Per Additional N/A 0.000 <br />lnsured <br />MINIMUM PREMIUM FOR GENERAL LIABILITY COVERAGE PART: <br />N/A <br />N/A <br />N/A <br />$550 <br />$1 65 <br />$0 <br />$195 <br />$71 5 <br />1 <br />1 <br />TOTAL PREMIUM FOR GENERAL LIABILITY COVERAGE PART: <br />(This Premium may be subject to adjustment.) Mp. minimum premium <br />3overage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue: <br />See Form EOD (01/95) and Form SOE (03/10) <br />THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. <br />lncludes copyrighted material of ISO Commercial Risk Services, lnc., with its permission. <br />Copyright, ISO Commercial Risk Services, lnc.,'1983, 1984, 1988cL1s0 (10/03)Page 1 Of 1