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SHINE HWANG, DBA: SUNSHINE MUSIC
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Last modified
8/24/2022 10:01:19 AM
Creation date
10/10/2019 4:26:29 PM
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Contracts
Company Name
SHINE HWANG, DBA: SUNSHINE MUSIC
Contract #
N-2019-201
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Destruction Year
2025
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DESCRIPTION OF HAZARDS <br />HAZARD: CERTIFICATE HOLDER FUNCTIONS <br />Subject to all other provisions of this Certificate, coverage is provided for a Covered Person while he is: <br />(1) Attending or participating in a Supervised or Sponsored Activity; or <br />(2) Attending a Certificate holder function. <br />The Covered Person must be: <br />(1) On the premises of the Certificate holder: <br />(a) During its normal hours; <br />(b) During scheduled functions; or <br />(c) During other periods if he is attending or participating in a Supervised or Sponsored Activity; <br />(2) Not on Certificate holder premises and attending or participating in a Supervised or Sponsored Activity; <br />(3) Traveling directly, without interruption: <br />(a) Between his home and the Certificate holder's premises for participation in a Supervised or Sponsored <br />Activity; <br />(b) Between the site of the Supervised or Sponsored Activity and his home or the Certificate holder's <br />premises. <br />(c) In a vehicle which is: <br />(1) Designated or furnished by the Certificate holder; <br />(it) Operated by a properly licensed adult driver; and <br />(iii) Under the direct supervision of the Certificate holder; or <br />(d) In a vehicle other than that described in (3)(c) when operated by a properly licensed driver. <br />Travel time includes the time: <br />(i) To or from home, the Certificate holder's address and the Supervised or Sponsored Activity; <br />(ii) Before the appointed time; and <br />(iii) After the Supervised or Sponsored Activity Is completed. <br />Unless otherwise stated, we will pay benefits for a covered loss, only once, even if coverage was provided under <br />more than one Description of Hazards. <br />DESCRIPTION OF BENEFITS <br />BENEFIT A; BENEFITS FOR ACCIDENTAL DEATH, DISMEMBERMENT, LOSS OF SIGHT, OR SPEECH <br />AND HEARING <br />If, within 1-year from the date of an Accident covered by this Certificate, Injury from such Accident, results in Loss <br />listed below, we will pay the percentage of the Principal Sum set opposite the loss in the table below. If the <br />Covered Person sustains more than one such Loss as the result of one Accident, we will pay only one amount, <br />the largest to which he is entitled. This amount will not exceed the Principal Sum which applies for the Covered <br />Person, <br />Loss <br />Loss of Life <br />Loss of Both Hands <br />Loss of Both Feet <br />Loss of Entire Sight of Both Eyes <br />Loss of One Hand and One Foot <br />Loss of One Hand and Entire Sight of One Eye <br />Loss of One Foot and Entire Sight of One Eye <br />Loss of Speech and Hearing (both ears) <br />Loss of One Hand <br />Loss of One Foot <br />OAC26932 <br />Percentasla of Principal Sum <br />100% <br />100% <br />100% <br />100% <br />100% <br />100% <br />100% <br />100% <br />50% <br />50% <br />
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