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MARTINEZ, RAUL
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Last modified
6/15/2022 12:40:24 PM
Creation date
9/17/2019 4:57:25 PM
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Contracts
Company Name
MARTINEZ, RAUL
Contract #
N-2019-177
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
9/15/2019
Destruction Year
2024
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mmmmftm <br />AMERICAN SPECIALTY' <br />SPECIFIC FORM INFORMATION <br />OOS GL005200 - Minimum Earned Premium <br />Minimum Premium Dollar Amount - $8,061 <br />OOS GL006000 - Schedule of Event(s) <br />- September 13-16, 2019 includes setup and teardown dates, 2019 Fiestas Partrias Festival, Event <br />Location: Flower Street (BTW Civic Center Dr. and Santa Ana Blvd. <br />OOS GL012100 - Contingent Coverage - Designated Activity Service or Work <br />Designated, Activity, Service or Work - Circus; Amusement Devices <br />CG 2101 - Exclusion - Athletic or Sports Participants <br />Description of Excluded Operations - Rodeo Participants; Sky -Diving; Hot -Air Balloon Rides; Hang <br />Gliding; Bungee-Jumping; Ice Skating; Wrestling or Fighting Events Participants; WWE (World <br />Wresting Entertainment) Participants; Motorsports Events Participants <br />CG 2135 - Exclusion - Coverage C - Medical Payments <br />Description and Location of Premises or Classification or All - All <br />CG 2144 - Limitation of Coverage to Designated Premises or Project <br />Premises - Not Applicable <br />Project or Operation - Coverage is limited to the Named Insured(s) Management, Production and <br />Project Management for (1) Scheduled Special Event according to the general liability form <br />OOSGL006000 Schedule of Event(s). <br />CG 2404 - Waiver of Transfer of Rights of Recovery Against Others to Us <br />Description - The person or organization with whom the insured has executed an agreement or <br />contract prior to the loss. <br />02019. American Specialty Insurance & Risk Services, Inc. dba A.S.I.R.S.I. Insurance Agency, American Specialty <br />Insurance & Risk Services Agency, and A S Insurance & Risk Services Agency. All rights reserved. Last modified <br />September 11, 2019. <br />
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