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FIESTA DE CARNIVAL
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Last modified
7/23/2019 10:35:43 AM
Creation date
3/25/2019 12:36:47 PM
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Contracts
Company Name
FIESTA DE CARNIVAL
Contract #
A-2019-042
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/5/2019
Expiration Date
2/5/2020
Insurance Exp Date
1/1/2020
Destruction Year
2025
Notes
SECOND AMENDEMENT TO A-2018-019
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TEMPORARY CALIFORNIA EVIDENCE OF LIABILITY INSURANCE <br />MERCURY Mercury Insurance Company <br />INSURANCE <br />TEMPORARY CALIFORNIA EVIDENCE OF LIABILITY INSURANCE <br />AoeMERCURY Mercury Insurance Company <br />INSi1RANCE <br />AGENCY: NIELSEN MCANANY INS SVCS (605)379-8801 <br />POLICY NUMBER <br />0401 06 006262566 <br />YEAR MAKE <br />2015 CHEVROLET <br />NAMED INSURED <br />TED HOLCOMB <br />ADDITIONAL DRIVER(S) <br />JANET HOLCOMB <br />JAIME HOLCOMB <br />JENNA HOLCOMB <br />EFFECTIVE & EXPIRATION DATES <br />03/11/2019 09/11/2019 <br />VEHICLE IDENTIFICATION NUMBER <br />1GNSCBKC3FR153115 <br />TO REPORT A CLAIM, please call (800) 503.3724 <br />For access to ROADSIDE ASSISTANCE ONLY, please cell (566) 519.6478 <br />This insurance complies with CVC 516056 or S16500.5 NAIC# 27553 <br />fold In half here <br />555 W. Imperial Highway, Brea, CA 92821 <br />THE COVERAGE PROVIDED BY THIS POLICY MEETS THE <br />MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW <br />IF YOU HAVE AN ACCIDENT <br />Notify the police immediately. <br />Capture the names, addresses, telephone numbers, driver license numbers <br />and license plate numbers of all persons involved and of witnesses, <br />Note any damage to other vehicles. <br />Do not admit fault. De not discuss the accident with anyone exceptyour <br />agent, Mercury or the police. <br />Immediately report all claims to Mercury at (800) 503-3724. <br />AGENCY: NIELSEN MCANANY INS SVCS (805)379-8801 <br />POLICY NUMBER EFFECTIVE & EXPIRATION DATES <br />0401 06 006262566 03/11/2019 09/11/2019 <br />YEAR MAKE VEHICLE IDENTIFICATION NUMBER <br />2015 CHEVROLET 1GNSCBKC3FR153115 <br />NAMED INSURED <br />TED HOLCOMB <br />ADDITIONAL DRIVER(S) <br />JANET HOLCOMB <br />JAIME HOLCOMB <br />JENNA HOLCOMB <br />TO REPORT A CLAIM, please call (800) 503.3724 <br />For access to ROADSIDE ASSISTANCE ONLY, please call 1866) 519-6478 <br />This inaumnce complies with CVC S16056 or S1B560.5 NAIC# 27553 <br />fold In half here <br />555 W. Imperial Highway, Brea, CA 92821 <br />THE COVERAGE PROVIDED BY THIS POLICY MEETS THE <br />MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW <br />IF YOU HAVE AN ACCIDENT <br />Notify the police immediately. <br />Capture the names, addresses, telephone numbers, driver license numbers <br />and license plate numbers of all persons involved and of witnesses. <br />Note any damage to other vehicles. <br />Do not admit fault. Do not discuss the accident with anyone except your <br />agent, Mercury or the police. <br />Immediately report all claims to Mercury at (800) 503-3724. <br />._ Take Llhotui;ifpossible. _____ _ rev. 07/14___ I__. Take pllotudifpossibSc. rev. 07/14___ I <br />AAoMERCURY <br />INSURANCE <br />TEMPORARY INSURANCE IDENTIFICATION CARD <br />Temporary ID Card - Do Not Mail to DMV <br />TEMPORARY CALIFORNIA EVIDENCE OF LIABILITY INSURANCE <br />MERCURY Mercury Insurance Company <br />INSURANCE <br />AGENCY: NIELSEN MCANANY INS SVCS (805)379-8801 <br />POLICY NUMBER <br />0401 06 006262566 <br />YEAR MAKE <br />2013 CHEVROLET <br />NAMED INSURED <br />TED HOLCOMB <br />ADDITIONAL DRIVER(S) <br />JANET HOLCOMB <br />JAIME HOLCOMB <br />JENNA HOLCOMB <br />EFFECTIVE & EXPIRATION DATES <br />03/11/2019 09/11/2019 <br />VEHICLE IDENTIFICATION NUMBER <br />2GNALFEKXD1120625 <br />TO REPORT A CLAIM, please call (800) 503-3724 <br />For doceiss to ROADSIDE. ASSISTANCE ONLY, please call (866) 519-6478 <br />Thls Insurance complas with CVC 316058 or 516500.5 NAIC# 27553 <br />fold In half here <br />555 W. Imperial Highway, Brea, CA 92821 <br />THE COVERAGE PROVIDED BY THIS POLICY MEETS THE <br />MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW <br />IF YOU HAVE AN ACCIDENT <br />Notify the police immediately. <br />TEMPORARY CALIFORNIA EVIDENCE OF LIABILITY INSURANCE <br />MERCURY Mercury Insurance Company <br />INSURANCE <br />AGENCY: NIELSEN MCANANY INS SVCS (805)379-8801 <br />POLICY NUMBER EFFECTIVE & EXPIRATION DATES <br />0401 06 006262566 03/11/2019 09/11/2019 <br />YEAR MAKE VEHICLE IDENTIFICATION NUMBER <br />2013 CHEVROLET 2GNALFEKXD1120625 <br />NAMEDINSURED <br />TED HOLCOMB <br />ADDITIONAL DRIVER(S) <br />JANET HOLCOMB <br />JAIME HOLCOMB <br />JENNA HOLCOMB <br />TO REPORT A CLAIM, please call (800) 503-3724 <br />For access to ROADSIDE ASSISTANCE ONLY, please call (066) 519-6478 <br />This insurance complies with CVC S16056 or S16500.5 NAIC# 27553 <br />fold In half here <br />555 W. Imperial Highway, Brea, CA 92821 <br />THE COVERAGE PROVIDED BY THIS POLICY MEETS THE <br />MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW <br />IF YOU HAVE AN ACCIDENT <br />Notify the police immediately. <br />Capture the names, addresses, telephone numbers, driver license numbers Capture the names, addresses, telephone numbers, driver license numbers <br />and license plate numbers of all persons involved and of witnesses, and license plate numbers of all persons involved and of witnesses. <br />Do not admit fault. Do not discuss the accident with anyone except your Do not admit fault. Do not discuss the accident with anyone except your <br />agent, Mercury or the police, agent, Mercury or the police. <br />Immediately report all claims to Mercury at (800) 503-3724. ]immediately report all claims to Mercury at (800) 503-3724. <br />Take photos ifpossible. rev. 07/14 Take photos ifpossiblc. rev. 07/14 <br />
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