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JENNIFER BACKHAUS DBA BACKHAUS DANCE (3)
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JENNIFER BACKHAUS DBA BACKHAUS DANCE (3)
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Last modified
6/2/2023 4:56:11 PM
Creation date
11/15/2022 11:40:08 AM
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Contracts
Company Name
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Contract #
N-2021-250-02
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2023
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 2101 Exclusion — Athletic Or Sports Participants ..................................... . ........ ..................................... <br />14 <br />CG 22 71 Colleges Or Schools (Limited Form) .............................................. . ......................... ................. <br />14 <br />CG 22 72 Colleges Or Schools .......................................................... .. ..... . . .... . .... ....................... <br />14 <br />CG 2137 Exclusion — Employees And Volunteer Workers As Insureds ....... ................................................. <br />..... 15 <br />CG 2166 Exclusion —Volunteer Workers ................................................ .... __ ............... ........................ <br />15 <br />CG 2141 Exclusion — Intercompany Products Suits .................................................................... .... ............ <br />15 <br />CG 22 65 Optical And Hearing Aid Establishments .......................................... _ ... ...... — ................................ <br />15 <br />CG 24 04 WaiverOf Transfer Of Rights Of Recovery Against OthersTo Us (Waiver Of Subrogation).. .... . ....... <br />.. .... 15 <br />CG 24 53 Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) — <br />Automatic............................ ............................ ................................................................................... <br />15 <br />CG9909 Premium Audit Noncompliance Charge ........... .................................. ............ ............................... <br />15 <br />RHEWm & Arxw® Br <br />'7 <br />Includes copyrighted material of Insurance Services Office, Inc., wi 6%e <br />SDM-1040 (Ed. 12/19) (Page 4 of 15) r <br />
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