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STRAIGHT TALK CLINIC, INC.
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STRAIGHT TALK CLINIC, INC.
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Last modified
5/29/2019 10:40:47 AM
Creation date
5/29/2019 10:06:02 AM
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Contracts
Company Name
STRAIGHT TALK CLINIC, INC.
Contract #
A-2019-060
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/7/2019
Expiration Date
4/6/2025
Insurance Exp Date
1/1/2019
Destruction Year
2030
Notes
A-2015-051
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Ai`- z EVIDENCE OF PROPERTY INSURANCE <br />-DATE (MIN ' <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />AGENCY PHONE <br />A 916-984-3000 <br />COMPANY <br />Clinton Polley Insurance Brokers <br />Philadelphia Insurance Company <br />P.O. Box 70251 <br />12150 Tributary Point Dr <br />Philadelphia PA 19004-0950 <br />Suite 200 <br />Gold River, CA 95670 <br />FAX <br />No:916-984-3100 ADDREss-certificates@clintonpolley.co <br />CODE: SUB CODE: <br />AGENCY <br />CUT ME .4426 <br />INSURED <br />LOAN NUMBER <br />POLICY NUMBER <br />Straight Talk Clinic Inc <br />5712 Camp Street <br />PHPK1846981 <br />EFFECTIVE DATE <br />EXPIRATION DATE <br />Cypress, CA 90630 <br />CONTINUED UNTIL <br />07/01/2018 <br />07/01/2019 <br />TERMINATED IF CHECKED <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />LOCATIONIDESCRIPTION <br />Location #10 - 1677 W Ord Way, Anaheim, CA 92802-4522 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />GOVERAGE INFORMATION <br />COVERAGE I PERILS I FORMS <br />AMOUNT OF INSURANCE <br />DEDUCTIBLE <br />Building Coverage / Special Form / Replacement Cost / 90% Coinsurance <br />Business Personal Property / Special Form / Replacement Cost / 90% Coinsurance <br />634,000 <br />30,000 <br />1,000 <br />1,000 <br />1677 West Ord Way Anaheim, CA. City of Santa Ana is named as Loss Payee with respect to 1677 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />ADDITIONAL INTEREST <br />NAME AND ADDRESS <br />MORTGAGEE <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />OAN# <br />City of Santa Ana <br />Attention: Community Development Agency <br />20 Civic Center Plaza (M-25) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 27 (2009/12) ©1993.2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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