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SAXE-CLIFFORD, SUSAN 8 -2015
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SAXE-CLIFFORD, SUSAN 8 -2015
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Last modified
7/29/2015 9:18:19 AM
Creation date
5/1/2015 9:21:26 AM
Metadata
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Contracts
Company Name
SAXE-CLIFFORD, SUSAN
Contract #
N-2015-058
Agency
POLICE
Expiration Date
12/31/2015
Insurance Exp Date
7/1/2016
Destruction Year
2020
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A`�RDp CERTIFICATE OF LIABILITY INSURANCE <br />°n 0°"°"""" <br />owzsJ2o16 <br />YH13 CERTRICATE 1¢ ISSUED AS A MATCA OF INFORMATION ONLY AND CONFERS NO MONTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOY AFFM11ATIVELY ON NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLWIES <br />,,LM. THIS OF INSUNANC6 GOBS NOT COMMUTE A CONTRACT BETOVEEN THE ISSUING WOUREATOL AUTHWIZEO <br />REPRESENYATNE OR PRGDUGEAI, AND THE OBRT PICATE HOLDER. <br />RAPORTANT: N I ,e m Wkm WdaN Is an ADDITICNAL INSURED, Va WWA ") ma be odi ota. N SUBROGATION 13 WAIVED. a dgN la <br />the VHINS MA gm ftWM Or NIP palcy, wlkln FotckY any RVUW NI ondon etoAL A MmUm wN all tllk chNRWk dam Hat PNNM ARNK w Vw <br />aRMaak"Bar In laws 01 aUch RAdemmanNsA <br />Nowuw <br />EROL HASSAN <br />E's+D SJ6.DaYD �Iy,LI„y310 ae+NU +,. __ <br />SGTtepM 3640 HIGHLAND AVE <br />E <br />aED. MANHATTAN BEACH, CA 90258 <br />nom• <br />�N <br />�. _,NawanOyuroflpaL,caNwlu �_, <br />._ _...... .»im <br />�V�IA SIw Falnl tieN)Ixd Molrw w OMnYN <br />W.O SUSAN SAYE CLIFFORD PHD I <br />.I IGIIA;Smk iwm Weand'LARWD CmgpV_ Man <br />16530 VENTURA BLVD STE 20 <br />ENCINOCA 914361•�4a3//511 <br />COVERAGES CERTIFICATE NUMBER: R =VISWN NUNdEk: <br />TAS.IS TD'CER Y THAT THE AOLICIEA OF MWAR JCE MEMO BELOW HAVE BEEN ISSUED 70 THE INSURED NALM1OAIlOVE PDA THE HULICY FORM <br />RMCnTFD. N01'YATIISTANDING ANY RFAUINEMEHT. TfiJNI DII CONdRON 01' ANY CONiflPCT' pR QTHOR ODOUMENT YAYII pBEPECT TD MNICw THIS <br />CNIttIPICnTE MAY RE ISSUED' OA MAY PENTWN, IMF wSUAMM:E nPPOIROCU SY THS PDUCN.S DE9PRSE0 HEREw IR 6UBJER TO ALL THE TEAMS. <br />EII LU_SiONOANO eOHOR1DIMS0�SUCN WJU1dES.UMHSSNOVM k(pY INYER�NREDVC6O RYMIDCWNS _. ._....... _... _..... .._. <br />Mr�l rvl•eeRINWIraMOS !� roller DI �J <br />A <br />CPMMkKNLOMNPRALUPVNTY <br />91Si•2ST &2 <br />OUW2MS <br />eMISOWa <br />NN.NnTGPM[NTF <br />eM41EmMMe0. <br />s _,_., 1000.0uo, <br />u00 <br />T' ., <br />pINIbN/Ca [n I acuP— <br />m IcEaAnVAP1_ <br />1 10.0 <br />_� <br />umER.^19+'?+T4^� <br />f e.ouo <br />P[RFO11.41naTPMYNY <br />f .. ._ <br />111 <br />akNLyAGGWY''TTIE 11W 1AITI.eIr rM1N' <br />f <br />DLINFM M1011FGiL <br />i _. _. '1001:000 <br />L.J.IDD <br />I <br />raowM:rA :pTVI+aP N:a <br />i , <br />,��n�I�elJr�ror <br />1 <br />NnaNPNLC UwaarY <br />lOS'360E9.. <br />s <br />w wPVxN <br />I <br />NlTM11a <br />' —MO — <br />(rsAmgltgrmW.f t w Fi <br />} <br />AM 1rppgSuN.CO <br />➢j'�r.nitl <br />c <br />I IaIaP_r,,na. J �MyvAYn <br />I <br />I <br />IYaSU' <br />__ <br />VabMWIAB DaY11 <br />f>aCX <br />EMM,"J"L <br />CWIII6.NAPL <br />_ <br />I �rMllfxv <br />I <br />i. <br />S HPIWEII;COMWNaATON <br />BfARSi_ <br />_. <br />ANa rAwNrMw wallM VIM <br />nFr w10 NMroAS.RRnNP [P.CCwtie y <br />NIA <br />e2CXAESA$ <br />OTlall7o15 <br />OiJAlI2A+6 <br />EL VCN M.QiMTI <br />{ 10lp,OW.. <br />IPa0.006_. <br />rINW pNOrtuoaoe <br />I <br />ry yFyyl.'.�LNNaT <br />e.' _ <br />VrIMNad6NPraNl: Ink <br />1 <br />rt_au <4t.unrr Nw <br />s: IOOPA00:- <br />PaVwraoH aM orupnnoRSl. W aINMNM IYrLICL96lN'oRa MN. Aawlnr a.uRr s W.Yr.,.N w waaa iI yY1c.Pw N rwNrw <br />TNCMO1EMXATIONN DATE TNEEEOM NOTIICCf I maL BE: DEWHIE0 W. <br />ACCORDANCE wm THE POLICY PROVISIONP. <br />*CORD 25 MIAMI) The ACORD neno and Mgo are Mg101ewO mark, a AC06W 100luus IrMO.802.Wa014 <br />ZO /Z0 39VJ bb9888L8T8 BE :ZT 9TOZ /T0 /L0 <br />
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