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Last modified
6/13/2022 1:36:52 PM
Creation date
6/13/2022 1:32:03 PM
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Contracts
Company Name
BACKHAUSDANCE
Contract #
A-2022-069-03
Agency
Parks, Recreation, & Community Services
Council Approval Date
5/3/2022
Expiration Date
6/30/2023
Insurance Exp Date
6/3/2023
Destruction Year
2028
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S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 82 82 (Ed. 12/09) <br />Policy No. GLP 3961460 01 <br />ABUSE OR MOLESTATION COVERAGE FORM <br />DECLARATIONS PAGE <br />NAMED INSURED: BACKHAUS DANCE POLICY PERIOD: <br />06/03/2022 to 06/03/2023 <br />LIMITS OF INSURANCE: <br />Aggregate Limit $ 2,000,000 <br />DESCRIPTION OF BUSINESS: <br />Form of Business CORPORATION <br />Each Abuse Limit $ 1,000,000 <br />READ YOUR POLICY CAREFULLY, OPTIONAL COVERAGES ARE PROVIDED BY PREMIUM INSERTION. <br />Abuse or Molestation Coverage <br />Premium <br />TOTAL ADVANCE PREMIUM $ 788 <br />Premium shown is payable: $ at inception; <br />FORMS AND ENDORSEMENTS Applicable to this Coverage Part and made part of this Policy at time of issue are <br />listed on the attached Forms and Endorsements Schedule CG 88 01 (11/85). <br />Ri.k M.V. dDi <br />RFnenID 6 APPRQ/m &r. <br />- %asl PtCT:OK <br />CG 82 82 (Ed. 12I09) (Page 1 of 1) Rsk Meneg ItOmlr Mde <br />
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