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Agenda Packet_2023-11-21
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Agenda Packet_2023-11-21
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Last modified
11/16/2023 2:57:23 PM
Creation date
11/15/2023 5:08:43 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
11/21/2023
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AGENCY CUSTOMER ID; SEDAINC-01 <br />LOG #: 1 <br />A,ROADDITIONAL REMARKS SCHEDULE <br />DAWNPHILLIPS <br />page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Inc. <br />NFP Property & Casualty Services, Inc. <br />p Y y <br />ID Modeling <br />ID Mod, <br />168 E. Arrow Hwy Suite 101 <br />San Oimas, CA 91M <br />poLlcv Numr5rR '-� <br />E PAGE 1 <br />Los Angeles <br />CARRIER <br />NAIC CODE <br />I*E PAGE 9 <br />SEE P 1 <br />EFFECTIVE oA rE: SEE RAGE 1 <br />THIS ADDITIONAL REMARKS rORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE. Certificate of Liabilltv Insurance <br />NFP Wording <br />Professional Liability : Retroactive date for $1,000,000 Aggregate and per claim limit is B-30-04. Retroactive date for $2,000,000 <br />Aggregate limit is 2.15.17. Retroactive Date for $2,000,000 per claim limit is 3-16.18. Deductible $25,000 per claim. Claims Made <br />policy form. <br />The attached certificate of insurance is provided as part of our service to our client the insured. If special endorsements have been <br />provided they are indicated and attached to the certificate. You may find that these documents do not comply with all the terms and <br />conditions of the underlying contract between the Certificate holder and the Insured due to the Insurance Company's insuring <br />conditions, limitations, exclusions and other Terms. If you have any questions please contact the undersigned. <br />NFP Property & Casualty Services Inc. <br />CA License OF15715 <br />1551 IN Tustin Ave, Suite 500 <br />Santa Ana CA 92705 <br />Telephone: 714-617-2326 <br />REVIEWED BY: <br />ACORD 101 (2008101) O 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name _and _logo are registered marks..af.ACf]RD ......... ......... ___ _....... <br />City Council 20 — 18 11/21/2023 <br />
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