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PATRICIA JOHNSON (FIRST AMENDMENT)
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PATRICIA JOHNSON (FIRST AMENDMENT)
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Last modified
7/22/2026 5:05:10 PM
Creation date
7/22/2026 4:59:02 PM
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CONTRACTS
Description Type
Other
Contract Type
Amendment
NAME
PATRICIA JOHNSON (FIRST AMENDMENT)
Contract Record Series
704-05
Munis Contract #
LIVERMORE MUNIS
Contract Expiration
6/30/2029
NOTES
LPFD FIRE PLAN REVIEW
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<br /> <br /> <br />BUSINESSOWNER’S POLICY <br />DECLARATIONS <br /> <br />Issued: 08/19/2025 <br />Berkshire Hathaway Direct Insurance Company <br />A Stock Company <br /> <br />Policy No.: <br />N9BP094899 <br /> Renewal of: NEW <br /> <br />IIT DS 01 05 <br /> <br /> <br />PO Box 113247 • Stamford, CT 06911 -3247 • www.biBERK.com Page 1 of 5 <br /> <br />POLICY INFORMATION PAGE <br /> <br /> <br /> <br /> [1] Named Insured and Mailing Address <br />Patricia Johnson <br />3516 20th Ave <br />Sacramento, CA 95820 <br /> <br />Additional Names of Insured <br />DBA Johnson Review <br /> <br /> <br /> [2] Policy Period <br />From August 20, 2025 to August 20, 2026, 12:01 AM, standard time at the insured’s mailing address. <br /> <br /> [3] Description of Business <br />Safety Consulting <br /> <br /> [4] Coverage <br />This policy consists of the Coverage Forms listed on the Schedule of Forms and Endorsements (IIT SF <br />01 05). <br /> <br /> [5] Premium <br />The premium shown below may be subject to adjustment. <br />Terrorism - Certified Acts Excluded <br />TOTAL POLICY PREMIUM $275.00 <br />TOTAL PAYABLE $275.00 <br /> <br /> <br /> <br /> <br /> [6] Payment of Premium <br />In return for your payment of premium, and subject to all terms of this policy, we agree with you to provide <br />insurance as stated in this policy. <br />EXHIBIT B <br />Docusign Envelope ID: 719DA141-AC44-83B6-8162-C79EED148CD3
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