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SOLOMON, STEPHEN (2)
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SOLOMON, STEPHEN (2)
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Last modified
4/23/2021 4:20:20 PM
Creation date
2/22/2021 11:28:26 AM
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Contracts
Company Name
SOLOMON, STEPHEN
Contract #
N-2019-049-01
Agency
Planning & Building
Expiration Date
2/12/2022
Insurance Exp Date
6/1/2021
Destruction Year
2027
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7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS <br />LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE <br />INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE <br />INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF <br />INSURANCE: V'WW.INSURANCE.CA.GOV. <br />8.IF YOU, AS THE APPLICANT, REQUIRED THAT THE <br />INSURANCE POLICY YOU HAVE PURCHASED BE BOUND <br />IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE <br />WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR <br />BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE <br />WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE <br />THIS DISCLOSURE FORM AND A REQUEST FOR YOUR <br />SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, <br />YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN <br />FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU <br />CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED <br />AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE <br />WILL BE RETURNED TO YOU. <br />LMA9098A <br />04 May 2017 <br />D-2 (Effective January 1, 2017) <br />Risk Mwagme tDMsian <br />REVIEWED&APPROVEDBY: <br />�� Risk Management Analyst <br />binders'138 <br />
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