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KIM, BONGWON
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Last modified
7/1/2026 10:57:24 AM
Creation date
6/25/2026 11:40:31 AM
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Contracts
Company Name
KIM, BONGWON
Contract #
A-2026-085-01
Agency
Parks, Recreation, & Community Services
Council Approval Date
6/16/2026
Expiration Date
6/30/2027
Insurance Exp Date
12/13/2026
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br /> POLICY CHANGES <br /> Policy Change <br /> _Number 01 <br /> POLICY NUMBER �.,.., POLICY CHANGES COMPANY <br /> EFFECTIVE <br /> NXT3LYQQQ3.04-GL 04/24/2026 Next Insurance US Company <br /> NAMED INSUREC? AUTHORIZED REPRESENTATIVE <br /> I3on won Kim <br /> 180 W Santa Clara Ave <br /> Santa Ana,CA 92706 <br /> Ann Ryan <br /> COVERAGE PARTS AFFECTED <br /> Commercial General Liability Coverage Part <br /> CHANGES <br /> SEE ATTACHED SCHEDULE <br /> Additional Total $3.00 <br /> Authorized Representative Signature <br /> IL 12 01 1186 Copyright, Insurance Services Office, Inc,, 1983 Pago 1 of 2 p <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 <br />
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