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SOLOMON, STEPHEN
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SOLOMON, STEPHEN
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Last modified
4/23/2021 4:20:01 PM
Creation date
3/13/2019 8:23:01 AM
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Contracts
Company Name
SOLOMON, STEPHEN
Contract #
N-2019-049
Agency
PLANNING & BUILDING
Expiration Date
2/12/2021
Insurance Exp Date
6/1/2021
Destruction Year
2026
Notes
WC NOT NEEDED AS VENDER HAS NO EMPLOYEES.
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m <br />7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS <br />LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE <br />INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE <br />INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF <br />INSURANCE: WWW.INSURANCE.CA.GOV. <br />8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE <br />INSURANCE POLICY YOU HAVE PURCHASED BE BOUND <br />IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE <br />WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR <br />BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE <br />WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE <br />THIS DISCLOSURE FORM AND A REQUEST FOR YOUR <br />SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, <br />YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN <br />FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU <br />CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED <br />AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE <br />WILL BE RETURNED TO YOU. <br />LMA9098A <br />04 May 2017 <br />D-2 (Effective January 1, 2017) <br />Risk MmWmerdDMsiun <br />REVIEWED & APPROVEDSY: <br />--� RFsk Pjanagement Analyst <br />
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