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Last modified
6/15/2022 12:11:53 PM
Creation date
5/13/2019 11:24:26 AM
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Template:
Contracts
Company Name
LE, CHOC
Contract #
N-2019-074
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2020
Destruction Year
2025
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Forms Schedule — General Liability <br />Policy Number: PHPK661902-008 <br />Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: <br />Form/Edition Description <br />CG 00 0104 13 Commercial General Liability Coverage Form <br />CG 2167 12 04 Fungi or Bacteria Exclusion <br />CG 2170 01 15 Cap On Losses From Certified Acts Of Terrorism <br />CG 32 34 01 05 California Changes <br />Commercial General Liability GL Coverage Part Declarations Page <br />Coverage Part Declarations <br />Commercial GL Supplemental Commercial GL Coverage Supplemental Schedule <br />Schedule <br />IL 0017 11 98 <br />IL 02 70 09 12 <br />IL N 177 09 12 <br />PI-BELL-1 11-09 <br />PI-FW-001 (01/07) <br />PI-FW-002 04 16 <br />PI-FW-003 (01/07) <br />PI-FW-004 0416 <br />PI-FW-005 (01/07) <br />PI-FW-006 (01/07) <br />PI-FW-007 (01/07) <br />PI-FW-008 (01/07) <br />PI-FW-009 (06111) <br />PI-GL-001 09 17 <br />PI-GL-002 CA 02 08 <br />PI-TER-DN1 01 15 <br />Common Policy Conditions <br />California Changes - Cancellation And Nonrenewal <br />California Premium Refund Disclosure Notice <br />Bell Endorsement <br />Coverage C -Athletic Activities Exclusion Deletion <br />Fitness and Wellness Liability Insurance Exclusions <br />Fitness and Wellness Liability Insurance Extension <br />Independent Contractors Providing Professional Training Services <br />Punitive Damages Exclusion <br />Sexual Abuse Endorsement <br />Specific Claimant Exclusion <br />Violation of Communication or Information Law Exclusion <br />Blanket Additional Insured ' <br />Exclusion - Lead Liability <br />Exclusion -Asbestos Liability <br />Disclosure Notice Of Terrorism Ins Coverage Rejection <br />Page 1 of 1 P`G <br />
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