2023/07/12 Tripepi Smith and Associates Inc.001
07/12/23 06/20/23
06/20/24
72 SBA AP9446 SC
TRIPEPI SMITH &ASSOCIATES INC
PO BOX 52152
IRVINE CA 92619
07/12/23
006
MARSH &MCLENNAN AGENCY LLC
255110
SENTINEL INSURANCE COMPANY,LIMITED
ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING
STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK
ACCOUNT,CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.
THIS IS NOT A BILL.
NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE
PROPERTY OPTIONAL COVERAGES APPLICABLE TO ALL LOCATIONS ARE ADDED
COMPUTERS AND MEDIA COVERAGE
FORM SS 04 41
DEDUCTIBLE:$1,000
FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:
IH12001185 ADDITIONAL INSURED -VENDOR
PRO RATA FACTOR:0.943
THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.
Form SS 12 11 04 05 T Page
Process Date:Policy Effective Date:
Policy Expiration Date:
72 SBA AP9446
ADDITIONAL INSURED -VENDOR
LOC 001 BLDG 001,002,003
THE CITY OF TRACY,INCLUDING ITS ELECTED OFFICIALS,OFFICERS
EMPLOYEES,AGENTS,AND VOLUNTEERS
333 CIVIC CENTER PLAZA
TRACY,CA 95376
LOC 001,BLDG 001,002
CITY OF LAGUNA BEACH
505 FOREST AVENUE
LAGUNA BEACH,CA 92651
LOC 001 BLDG 001,002,003
THE CITY OF GLENDALE,AND ITS OFFICERS,AGENTS,EMPLOYEES
AND REPRESENTATIVES
613 E.BROADWAY
GLENDALE,CA 91206
LOC 001 BLDG 001/002/003
CITY OF MENIFEE
29844 HAUN RD
MENIFEE,CA 92586
LOC 001 BLDG 001
THE CITY OF ONTARIO,ITS DIRECTORS,OFFICIALS,EMPLOYEES,AGENTS,
AND VOLUNTEERS
303 E B ST
ONTARIO,CA 91764
005 001
07/12/23 06/20/24