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LE, CHOC 4 - 2015
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LE, CHOC 4 - 2015
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Last modified
3/25/2020 11:21:19 AM
Creation date
4/23/2015 3:41:18 PM
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Contracts
Company Name
LE, CHOC
Contract #
N-2015-057
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
7/1/2017
Insurance Exp Date
12/17/2017
Destruction Year
2022
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Forms Schedule — General Liability <br />Policy Number: PHPK661902-004 <br />Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: <br />Form/Edition Description <br />CG 00 01 12 07 Commercial General Liability Coverage Form <br />Commercial General Liability GL Coverage Part Declarations Page <br />Coverage Part Declarations <br />Commercial GL Supplemental Commercial GL Coverage Supplemental Schedule <br />Schedule <br />PI-APG-004 (01/07) Additional Conditions <br />PI-APG-CA-1 (01/07) California Changes -Cancel, Nonrenewal and Cond. Renewal <br />PI-FW-001 (01/07) Coverage C - Athletic Activities Exclusion Deletion <br />PI-FW-002 (03/09) <br />Fitness and Wellness Liability Insurance Exclusions <br />PI-FW-003 (01/07) <br />Fitness and Wellness Liability Insurance Extension <br />PI-FW-005 (01/07) <br />Punitive Damages Exclusion <br />PI-FW-006 (01/07) <br />Sexual Abuse Endorsement <br />PI-FW-007 (01/07) <br />Specific Claimant Exclusion <br />PI-FW-008 (01/07) <br />Violation of Communication or Information Law Exclusion <br />PI-FW-009(06/11) <br />Blanket Additional Insured <br />Reviewed by: <br />1-711 <br />Silvia Cuevas ttl <br />PRCSA/Admin. <br />Page 1 of 1 <br />
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