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PPB 100 12 10 pg. 1 of 2 <br />This Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any other Forms and Endorsements <br />issued to be a part of the Policy. This insurance is provided by RLI insurance Company. <br />RLI Insurance Company <br />Peoria, Illinois <br />RLIPack® BUSINESSOWNERS DECLARATIONS <br />Policy Number:PSB0010943 [] New [X] Renewal of PSB0010943 <br />Named Insured and Mailing Address: Agent/Broker: 68072 <br />FirePE, Inc.IOA Insurance Services (68072) <br />1855 W State Rd 434 <br />3840 Aragon Lane Longwood, FL 32750 <br />San Ramon, CA 94583 <br />Policy Period: From 12-14-2024 To 12-14-2025 <br />12:01 A.M. Standard Time at your mailing address shown above. <br />Legal Entity: Corporation <br />LOCATION SCHEDULE <br />Described Premises Address: <br />Primary Location, Building #1, 3840 Aragon Lane, San Ramon, CA, 94583 <br />Refer to RLIPack Businessowners Supplemental Declarations - Building and Locations Coverages, PPB 111, for <br />coverage details. <br />Billing Plan: Direct Bill, Full Pay <br />Audit Frequency: Waived <br />Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree <br />with you to provide insurance as stated in this policy. <br /> <br />Estimated Premium, excluding Terrorism: $498 <br />Terrorism Charge: $2 <br />Applicable Taxes, Fees, and Surcharges: $0.00 <br />TOTAL ESTIMATED PREMIUM, TAXES, FEES, AND SURCHARGES: $500.00 <br /> <br />Countersigned By Authorized Representative Date: ___________________________ <br />Issued Date: 10-31-2024 <br />Exhibit B <br />Docusign Envelope ID: 7D12103B-E5DC-46A2-B6BA-3BD5268ECDA5