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Last modified
1/7/2021 4:38:03 PM
Creation date
1/7/2021 4:36:45 PM
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Contracts
Company Name
ROGER REYES
Contract #
N-2021-008
Agency
Community Development
Expiration Date
1/31/2021
Insurance Exp Date
1/31/2021
Destruction Year
2026
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Burns& <br />Wilcox <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />Phone: (415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620 <br />DATE: 11/19/2020 INSURANCE BINDER Page 4 of 4 <br />QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE <br />MINIMUM PREMIUM APPLIES <br />NO ARS INCLUDED. <br />PLEASE REVIEW THIS BINDER CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED. <br />THIS COMPANY BINDS THE KIN D(S) OF INSURANCE STIPULATED HEREIN. THE ABOVE COVERAGES ARE THE ONLY COVERAGES BOUND. <br />ANY COVERAGE REQUESTED IN THEAPPLICATION THAT DIFFERS FROM THE ABOVE IS NOT INCLUDED. THE INSURANCE IS SUBJECT TO <br />THE TERMS, CONDITIONS, LIMITATIONS, AND FORMS OF THE POLICY(S) IN CURRENT USE BY THE COMPANY. THIS BINDER IS <br />CANCELLED SIXTY (60) DAYS FROM THE EFFECTIVE DATE OR WHEN REPLACED BY A POLICY, WHICHEVER COMES FIRST. <br />THEAGENT MUST READ THIS CERTIFICATE AND IF NOT CORRECT RETURN IT IMMEDIATELY TO BURNS & WILCOX, LTD. <br />BY: Harvey Goldenberg, Authorized Representative (CA INS LIC # 0828615) <br />WekMmwgmadDIvisinn <br />eRLMEWED&I�AP'P`ROVED BY: <br />t 1 " � 7"Ad4Y�rG•4 ram, y+ <br />Risk Maingement Analyst <br />s <br />
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