Laserfiche WebLink
Nov 17 09 01;26p LPFD 2098872821 <br /> . p.3 <br /> NAUTILUS INSURANCE COMPANY <br /> COMMERCIAL GENERAL LIABILITY <br /> COVERAGE PART.DECLARATIONS EXTENSION <br /> POLICY NUMBER: NC961010 Effective Date: 11/01/2009 12:01 A.M.Standard Time <br /> LOCATION OF PREMISES <br /> Location of All Premises You Own. Rent or Occupy: <br /> i <br /> _ f <br /> PREMIUM <br /> PREMIUM RATE ADVANCE <br /> CODE 4- CLASSIFICATION * BASIS PRICO All Other PREMIUM <br /> 67013 - INCIDENTAL JR MISS T 1 INCLUDED INCLUDED <br /> COMPETITION REHEARSALS I14CLUDED <br /> 49950 -Additional Insured T 2 INCLUDED INCLUDED <br /> CG2011 <br /> FLAT SC <br /> i <br /> i <br /> I <br /> Additional page needed. PREMIUM FOR THIS COVERAGE PART $ 82-C <br /> THESE DECLARATIONS ARE PART OF THE?OL1CY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. <br /> S170 (06'03) Page 1 of 1 <br />