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Last modified
2/3/2021 10:54:28 AM
Creation date
1/28/2021 5:29:47 PM
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Contracts
Company Name
JOSHUA BOBROVE
Contract #
N-2021-025
Agency
Public Works
Expiration Date
12/15/2021
Insurance Exp Date
12/19/2021
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AGENCY CUSTOMER ID: <br />LOC# : <br />ADDITIONAL REMARKS SCHEDULE <br />22 <br />Pageof <br />AGENCYNAMED INSURED <br />HILL & USHER INS & SURETY/PHSPHOTOGRAPHY BY JOSHUA BOBROVE <br />POLICY NUMBER <br />2419 VISTA DEL CAMPO <br />SANTA BARBARACA93101-4662 <br />SEE ACORD 25 <br />CARRIERNAIC CODE <br />SEE ACORD 25 <br />EFFECTIVE DATE:SEE ACORD 25 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />ACORD 25CERTIFICATE OF LIABILITY INSURANCE <br />FORM NUMBER:FORM TITLE: <br />Coverage is primary and noncontributory per the Business Liability Coverage Form SL 00 00, attached to this policy. CITY <br />WILL BE MAILED 30 DAYS WRITTEN NOTICE OF POLICY CANCELLATION AND THE REFERENCES "ENDEAVOR TO" <br />AND "FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />COMPANY, ITS AGENTS OR REPRESENTATIVES" SHALL BE REMOVED OR CROSSED OUT. <br />ACORD 101 (2014/01)© 2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />
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