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CAMPOS, YESSICA (2)
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CAMPOS, YESSICA (2)
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Last modified
6/2/2022 3:48:06 PM
Creation date
12/24/2019 7:51:43 AM
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Contracts
Company Name
CAMPOS, YESSICA
Contract #
N-2019-262
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2020
Destruction Year
2025
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POLICY NUMBER: 6BRPG0000007214200 <br />INTERLINE <br />IL 12 01 11 85 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 2 <br />POLICY NUMBER <br />POLICY CHANGES EFFECTIVE <br />COMPANY <br />6BRPG0000007214200 <br />01/01/20 <br />Nationwide Mutual Insurance Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Yessica Campos <br />K&K Insurance Group, Inc. <br />COVERAGE PARTS AFFECTED <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CHANGES <br />The following SRPG8018 form is added to the policy. <br />CP# 11 <br />Authorized Representative Si(, <br />REV ED & APPROVED <br />By S MANAGEMENT DIVISION <br />C 20 2019 <br />IL 1201 11 85 Copyright, AWAR lAcK&WRW983 Page 1 of 1 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />
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