Avondale Insurance Associates, Inc. on behalf of their carrier(s). As Of: 02/23/2021 Named Insured: SPCP, LLC Claim Summary Policy # Effective Expiration # of Claims CAS000153/1800 05/15/2018 05/15/2019 3 CAS000153/1900 05/15/2019 05/15/2020 3 Claim Details Policy # Claim # Status Loss Date Loss State Cause of Loss Total Reserve Total Paid Total Outstanding Total Incurred CAS000153/1800 ADIH18070004 Closed 06/10/2018 TX Slip and Fall $ 0.00 $ 32,975.00 $ 0.00 $ 32,975.00 CAS000153/1800 ADIH18080008 Open 07/27/2018 TX Property Damage - NOC $ 12,490.00 $ 990.00 $ 11,500.00 $ 12,490.00 CAS000153/1800 ADIH18100016 Closed 08/23/2018 TX Slip and Fall $ 0.00 $ 3,201.52 $ 0.00 $ 3,201.52 CAS000153/1900 ADIH19080007 Closed 08/01/2019 TX All Other Property - NOC $ 0.00 $ 6,017.90 $ 0.00 $ 6,017.90 CAS000153/1900 ADIH19120026 Closed 12/26/2019 TX Fall (Non-Slip Trip) $ 0.00 $ 1,642.59 $ 0.00 $ 1,642.59 CAS000153/1900 ADIH20020006 Open 11/19/2019 TX Collapse $ 21,655.00 $ 456.50 $ 21,198.50 $ 21,655.00 Loss Run We compile all claim information for our own business purpose, in doing so we exercise reasonable care. Amounts reserved are based solely on our judgment. They are subject to change and should not be regarded as ultimate settlement values. We make no representation or warranties to anyone to whom this information may be provided who agrees that no liability for errors contained herein shall be attached to the provider regardless of the source of said errors. Page 1 of 1