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ENP2021-0031-Proof of Insurance-03.18.2021COMMERCIAL INSURANCE Policy Number CPO 0236686-02 Named Insured and Mailing Address ROASTPANO LLC DBA: KELNERO 545 MAIN ST EDMONDS WA 98020-3149 N 10 COMMON POLICY DECLARATIONS Renewal of Number CPO 0236686-01 Producer and Mailing Address MCGOWAN & COMPANY, INC. 20595 LORAIN RD FAIRVIEW PARK OH 44126-2053 Producer Code 22045-000 Policy Period: Coverage begins 12-01-2020 at 12:01 A.M.; Coverage ends 12-01-2021 at 12:01 A.M. The name insured is LJ Individual LJ Partnership LJ Corporation 0 Other: LIMITED LIABILITY COMPANY This insurance is provided by one or more of the stock insurance companies which are members of the Zurich -American Insurance Group. The company that provides coverage is designated on each Coverage Part Common Declarations. The company or companies providing this insurance may be referred to in this policv as "The Company", we, us, or our. The address of the companies of the Zurich -American Insurance Group are provided on the next page. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE(S): PROPERTY COVERAGE PREMIUM $ 1,561.00 issued by AMERICAN ZURICH INSURANCE COMPANY GENERAL LIABILITY COVERAGE PREMIUM $ 1,950.00 issued by AMERICAN ZURICH INSURANCE COMPANY BUSINESS AUTOMOBILE PREMIUM $ 212.00 issued by AMERICAN ZURICH INSURANCE COMPANY WA -REGULATORY SURCHARGE $ 4.06 THIS PREMIUM MAY BE SUBJECT TO AUDIT. TOTAL $ 3,723.00 This premium does not include Taxes and Surcharges. Taxes and Surcharges TOTAL $ 4.06 The Form(s) and Endorsement(s) made a part of this policy at the time of issue are listed on the SCHEDULE of FORMS and ENDORSEMENTS. Countersigned this day of Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART FORM(S), FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PARTTHEREOF, COMPLETE THE ABOVE NUMBERED POLICY. U-GU-D-310-A (01 /93) Page 1 of 1 Policy Number CPO 0236686-02 COMMERCIAL PROPERTY COVERAGE PART SUPPLEMENTAL DECLARATIONS AMERICAN ZURICH INSURANCE COMPANY Named Insured ROASTPANO LLC Effective Date: 12-01-20 12:01 A.M., Standard Time Agent Name MCGOWAN & COMPANY, INC. Agent No. 22045-000 Item 1. Business Description: RESTAURANT / BAR Item 2. Premises Described: See Schedule of Locations Item 3. $500 Deductible unless otherwise indicated. Item 4. Coverage Provided Loc. Bldg. Coverage Limit of Covered Coins. No. No. Insurance Causes of Loss 001 001 TENANTS IMPR & BETT $ 115,000 SPECIAL 90% Other Provisions Agreed Value: Expires: = REPLACEMENT COST Business Income Indemnity: Monthly Limit: Period: Maximum = Inflation Guard: % Reporting Extended Days BI Media Extension of Recovery Period: Months Deductible: $ 1,000 Earthquake Deductible: Exceptions Loc. Bldg. Coverage Limit of Covered Coins. 001 001 BUSINESS PERS PROP $ 80,000 SPECIAL 80% Other Provisions Agreed Value: Expires: = REPLACEMENT COST = Business Income Indemnity: Monthly Limit: Period: Maximum F-1 Inflation Guard: % = Reporting Extended Days BI Media Extension of Recovery Period: Months Deductible: $ 1, 000 Earthquake Deductible: Exceptions Loc. Bldg. Coverage Limit of Covered Coins. No. No. Insurance Causes of Loss 001 001 1 BUS INC OTHER THAN RENTAL VALUE $ 275,000 SPECIAL 50% Other Provisions Agreed Value: Expires: Business Income Indemnity: Monthly Limit: Period: Maximum 71 Inflation Guard: % Reporting Extended Days BI Media Extension of Recovery Period: Months Deductible: Earthquake Deductible: Exceptions Item 5. Forms and Endorsements Form(s) and Endorsement(s) made a part of this policy at time of issue: See Schedule of Forms and Endorsements THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. U-CP-D-690-A CW (10/02) Property Basket Coverage Endorsement CA Supplement Schedule - Basic This Schedule is used in conjunction with the Commercial Property Coverage Part Declarations when the Commercial Property Coverage Part includes the Property Basket Coverage Endorsement. This Schedule supplements the Commercial Property Coverage Part Declarations. Additional Coverages and Coverage Extensions Limits of Insurance Accounts Receivable: On Described Premises $ 100,000 Each Described Premises, Per Occurrence Off Described Premises $ 5,000 Not At Described Premises, Per Occurrence Automatic Increase in Insurance: Building 2% Business Personal Property 4% Brands And Labels $ 25,000 Per Occurrence Business Income From Dependent Properties $ 25,000 Per Occurrence Computer Fraud $ 25,000 Per Occurrence Contractual Penalties $ 25,000 Annual Aggregate Damage To Building From Theft $ 5,000 Per Occurrence Debris Removal: Covered Property $ 25,000 Each Described Premises, Per Occurrence Other Than Covered Property $ 25,000 Per Occurrence Electronic Data $ 25,000 Annual Aggregate Employee Dishonesty $ 25,000 Per Occurrence False Pretense $ 1,500 Per Occurrence Fine Arts $ 25,000 Each Described Premises Fire Department Service Charge $ 10,000 Per Occurrence Fire Extinguisher Systems Expense $ 10,000 Per Occurrence Forgery Or Alteration $ 25,000 Per Occurrence Foundations And Underground Pipes $ 100,000 Per Occurrence Interruption Of Computer Operations $ 25,000 Annual Aggregate Inventory And Appraisal Expense $ 10,000 Per Occurrence Leasehold Interest — Undamaged Improvements And Betterments $ 50,000 Per Occurrence Mobile Equipment $ 25,000 Per Occurrence Money And Securities: On Described Premises $ 10,000 Per Occurrence Off Described Premises $ 5,000 Per Occurrence Money Orders And Counterfeit Paper Currency $ 1,500 Per Occurrence Newly Acquired Or Constructed Property: Buildings $ 1,000,000 Each Building Business Personal Property $ 500,000 Each Building Fine Arts $ 10,000 Per Occurrence Ordinance Or Law: Machinery and Equipment $ Included in Property Limit Demolition Cost $ 100,000 Per Occurrence Increased Cost Of Construction $ 100,000 Per Occurrence Loss to the Undamaged Portion of the Building $ 100,000 Per Occurrence Outdoor Property: Fences/Retaining Walls $ 10,000 Per Occurrence U-GU-D-635-B CW (10/08) Page 1 of 2 Includes copyrighted material of ISO Properties, Inc. with its permission. Additional Coverages and Coverage Extensions Limits of Insurance Antennas $ 10,000 Per Occurrence Outdoor Signs $ 5,000 Per Occurrence Personal Effects $ 10,000 Each Described Premises Pollutant Clean Up And Removal $ 25,000 Annual Aggregate at Each Described Premises Property In Transit $ 25,000 Per Occurrence Property Off -Premises $ 25,000 Per Occurrence Reward Payment: Information $ 10,000 Per Person, Per Occurrence Stolen Covered Property $ 10,000 Per Person, Per Occurrence Transit Business Income $ Included in Business Income Limit Trees, Shrubs And Plants: $ 2,500 Any One Tree, Shrub or Plant $ 25,000 Per Occurrence Underground Water And Backup Of Sewer And Drain $ 25,000 Per Occurrence Utility Services — Direct Damage $ 10,000 Per Occurrence Utility Services — Time Element $ 10,000 Per Occurrence Valuable Papers And Records Other Than Electronic Data $ 100,000 Each Described Premises Valuable Papers And Records (Other Than Electronic Data) — Off Premises $ 5,000 Per Occurrence U-GU-D-635-B CW (10/08) Page 2 of 2 Includes copyrighted material of ISO Properties, Inc. with its permission.