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SUBANDHI, TEREMBANG (2)
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SUBANDHI, TEREMBANG (2)
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Last modified
8/24/2022 10:02:53 AM
Creation date
12/24/2019 8:03:56 AM
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Contracts
Company Name
SUBANDHI, TEREMBANG
Contract #
N-2019-266
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Destruction Year
2025
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ENDORSEMENT #1 <br />THIS ENDORSEMENT EFFECTIVE: 12:01 A.M., December 9, 2019 <br />FORMS A PART OF POLICY NO.: 19/7004011 <br />ISSUED TO: Tenant Users of Independent Cities Risk Management Authority <br />BY: U.S. Specialty Insurance Company <br />The following form is hereby added as attached: <br />Additional Insured - Primary Insurance - SE 1002 02 10 <br />In consideration of the above there is no additional premium. <br />All other terms and condition remain the same. <br />AUTHORIZED SIGNATURE <br />& APPROVED <br />incMFNT DIVISION <br />142020 <br />M. IAMBERT <br />
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