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RANESES, MICHAEL-N-2020-091
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RANESES, MICHAEL-N-2020-091
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Last modified
10/27/2021 9:32:00 AM
Creation date
5/6/2020 4:10:21 PM
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Contracts
Company Name
RANESES, MICHAEL
Contract #
N-2020-091
Agency
PLANNING & BUILDING
Expiration Date
4/22/2022
Insurance Exp Date
2/1/2022
Destruction Year
2027
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POLICY NUMBER: EONCAF155700032-002 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />POLICY INFORMATION <br />This endorsement modifies insurance provided under the following: <br />Effective Date of Change: 2021-10-12 <br />Named Insured: Michael Raneses <br />E- Limits/Exposures <br />ADDITIONAL NOTES <br />Limits increased to $1,000,000/$2,000,000 <br />The above amendments result in a change in the premium as follows: <br />ADDITIONAL PREMIUM: $139.00 <br />POLICY CHANGES ENDORSEMENT DESCRIPTION <br />Added Forms: <br />PF231120807 LIMITS AMENDED RETROACTIVE DATE AMENDED (SPECIFIED LAYER) <br />Countersigned By: <br />JOHN J. LUPICA, President <br />(Authorized Representative) <br />�oRaN <br />} z <br />a <br />RAMarWmentDMsion <br />REVIEWED & APPROVED BY.- <br />p R. Vj&,Wd <br />Risk Management Analyst <br />
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