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Last modified
6/9/2022 12:51:32 PM
Creation date
1/14/2019 12:59:58 PM
Metadata
Fields
Template:
Contracts
Company Name
PROFESSIONAL ENTERTAINMENT
Contract #
A-2017-052-02
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/21/2017
Expiration Date
12/31/2019
Destruction Year
2024
Notes
A-2017-052-01
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PEMCO <br />Insurance <br />December 9. 2019 <br />Proof of insurance for: <br />DARRELL K. WAGNER <br />PO BOX 78593 <br />SEATTLE WA 98178.0593 <br />1300 Dexter Avenue N <br />Seattle, WA 98109-3571 <br />Representative: PEMCO Customer Service <br />1-800-GO-PEMCO (1-800-467-3626) <br />This confirms that our customer (named above) has insurance with PEMCO. Please see details below on the <br />car, coverages including limits and deductibles, and others named on the current policy. <br />This letter is proof of auto insurance as of the date above. It doesn't take the place of an insurance <br />identification card, isn't an insurance policy, and doesn't change the coverage provided by this policy. <br />Coverages, limits, and deductibles are accurate as of the date of this letter. <br />If you have any questions, please call 1-800-GO-PEMCO (1-800-467-3626). <br />PEMCO Mutual Insurance Company <br />AUTO POLICY <br />Policy number: CA 0658600 <br />Policy period: 07/23/2019 to 07/23/2020 <br />2020 SUBARU ASCENT TOURING VIN 4S4WMARDXL3430479 <br />COVERAGES <br />Bodily Injury <br />Property Damage Liability <br />Underinsured Motorist Bodily Injury <br />Underinsured Motorist Property Damage <br />Personal Injury Protection <br />Loss of Income <br />Collision <br />Comprehensive <br />Auto Loan/Lease <br />Rental Reimbursement <br />OTHER INTERESTS <br />Limits/Deductible <br />$100,000 each person/$300,000 each occurrence <br />$100,000 each occurrence <br />$100,000 each person/$300,000 each occurrence <br />$100,000 each occurrence <br />$10,000 <br />$200 max per week/$10,400 max per occurrence each person <br />Deductible: $1,000 <br />Deductible: $200 <br />$30 per day/$900 per occurrence <br />Loss Payee, Loan Number— 193341326020 <br />JP Morgan Chase, PO Box 901098, Fort Worth, TX 76101-2098 <br />13803.001 Rev. 0912017 <br />3t /1P�,I ofI <br />
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