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CARLA J. ZARATE SUAREZ
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CARLA J. ZARATE SUAREZ
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Last modified
6/9/2022 2:20:26 PM
Creation date
1/21/2021 9:45:50 AM
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Contracts
Company Name
CARLA J. ZARATE SUAREZ
Contract #
N-2021-017
Agency
Community Development
Expiration Date
1/31/2021
Destruction Year
2026
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al, <br />101 California I <br />Phone: (415) 421.4244 <br />DATE:11/19/2020 INSURANCE BINDER <br />"ENDORSEMENTS & EXCLUSIONS: <br />Sulte 975, San Praholsoo, CA 94111 <br />600) 759.4855 Pax; (415) 421-0620 <br />Page 3 of 4 <br />UNLPFDI , COMMON POLICY DECLARATIONS, <br />AP001772 -CLAIM REPORTING INFORMATION. <br />AF100 - POLICY JACKET. <br />AF33W . FRAUD & MISREPRESENTATION ENDORSEMENT, <br />AF3550 -MINIMUM EARNED PREMIUM & CANCELLATION CLAUSE. <br />AF900 - SERVICE OF SUIT, <br />ILQ017 - COMMON POLICY CONDITIONS, <br />SOME -SCHEDULE OF FORMS & ENDORSEMENTS. <br />AF000839 -INJURY TO EMPLOYEES, SUBCONTRACTORS, INDEPENDENT CONTRACTORS, TEMPORARY WORKERS, <br />LEASED WORKERS OR VOLUNTEERS EXCLUSION. <br />AF001007 - COMBINED COVERAGE & EXCLUSION ENDORSEMENT: ASBESTOS EXCLUSION; LEAD EXCLUSION; <br />CONTRACTOR'S SPECIAL CONDITIONS; EMPLOYMENT RELATED PRACTICES EXCLUSION; NUCLEAR ENERGY LIABILITY <br />EXCLUSION; PROFESSIONAL SERVICES AND MALPRACTICE EXCLUSION; SEXUAL / PHYSICAL ABUSE EXCLUSION; <br />TOTAL POLLUTION EXCLUSION WITH HOSTILE FIRE EXCEPTION; ASSAULT & BATTERY EXCLUSION; ANTI -STACKING <br />AND NONDUPLICATION OF LIMITS OF INSURANCE; TENDERING OF APPLICABLE LIMIT OF INSURANCE, <br />AF001308 -INFRINGEMENT, MISAPPROPRIATION AND UNFAIR COMPETITION EXCLUSION. <br />AF001707 -AMENDMENT OF NONPAYMENT CANCELLATION CONDITION, <br />AF001729 • CONDITIONAL EXCLUSION OF LIABILITY/CLAIMS IN THE STATE OF MISSOURI, ONLY APPLIES IF MISSOURI <br />IS PRINCIPLE PLACE OF BUSINESS OR RISK CONDUCTS MORE THAN 10% OF OPERAMNS IN MISSOURI, <br />AF001752 -AMERICANS WITH DISABILITIES ACT AND DISCRIMINATION EXCLUSION. <br />AF0878 - AMENDATORY ENDORSEMENTS: CANCELLATION, CANCELLATION OF FINANCED POLICY, AUDIT <br />CONDITIONS, <br />AF3400 - SILICAOR SILICARELATED DUST EXCLUSION. <br />UNLPF3D1 L -COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS, <br />AF001788 -TOTAL CANNABIS AND RELATED PRODUCTS EXCLUSION. <br />CG0001 - COMMERCIAL GENERAL LIABILITY COVERAGE FORM - C00001 04-13, <br />CG2107 . ACCESS OR 018CL08URE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY <br />EXCLUSION. <br />CG2107 - FUNGI OR BACTERIA EXCLUSION ((DOES NOT APPLY TO GOODS OR PRODUCTS INTENDED FOR BODILY <br />CONSUMPTION). <br />CB2426 -AMEN DMENT OF INSURED CONTRACT DEFINITION. <br />AF001401 -DAMAGE TO PREMISES RENTED TO YOU LIMITATION - FIRE LEGAL LIABILITY COVERAGE. <br />AF000873 -KNOWN INJURY OR DAMAGE EXCLUSION FOR PERSONAL & ADVERTISING INJURY, <br />AF000899 - CLARIFICATION AMENDMENT TO POLICY AIRCRAFT, AUTO OR WATER CRAFT EXCLUSION. <br />D2 . CALIFORNIA SURPLUS LINES NOTICE. <br />CAPRNOTICE - CALIFORNIA PREMIUM REFUNDS NOTICE -POLICIES CANCELED BY INSURED MAY INCUR A 10% <br />SHORT RATE PENALTY. <br />C03234 - CACHANGES. <br />AF001740 • DESIGNATED OPERATIONS- STATE OF NEW YORK EXCLUSION, <br />AF'001741 - DESIGNATED OPERATIONS- STATE OF WASHINGTON EXCLUSION. <br />AF33509 - ASSAULT& BATTERY EXCLUSION REMOVAL (ENDORSEMENTTO REMOVE A&B EXCLUSION). <br />AF33510 -CLASSIFICATION LIMITATION. <br />AF33515A - NEW RESIDENTIAL CONSTRUCTION EXCLUSION. <br />AF33530 -SUBSIDENCE EXCLUSION. <br />AP3397 - EIFS EXCLUSION & DRYWALL, EMISSION EXCLUSION, <br />C00300-DEDUCTIBLE LIABILITY. <br />CO2144 -LIMITATION OF COVERAGE TO A DESIGNATED PREMISES / PROJECT, <br />TYPIST: IN THE PROJECT BOX, TYPE THE FOLLOWING "ELECTRICAL / UTILITY BOX PAINTING FOR CITY OF SANTA ANA" <br />CG2154-OCIPAWRAP-UP EXCLUSION. <br />GLS 261s - ADDITIONAL INSURED - INDEEEDENT CONTRACTOR (SCOTTSDALE FORM - SEE NEXT PAGE) <br />CONDITIONS: <br />+� 72iek.Managirr�ent➢191ston <br />4� RwEvAm&Np'Rlovw$Y: <br />lilsle k}n�a�7olneri[ Analyst <br />
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