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DEVORA LEMUS (2)
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Last modified
1/28/2021 5:00:15 PM
Creation date
1/28/2021 4:58:54 PM
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Contracts
Company Name
DEVORA LEMUS
Contract #
N-2021-010-01
Agency
Community Development
Expiration Date
6/30/2021
Insurance Exp Date
1/31/2021
Destruction Year
2026
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r <br />F. <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />;415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620 <br />DATE:11/19/2020 INSURANCE BINDER Page 4of4 <br />QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE <br />MINIMUM PREMIUM APPLIES <br />Phone: <br />NO ARS INCLUDED. <br />PLEASE REVIEW THIS BINDER CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED, <br />THIS COMPANY BINDS THE KIND(S) OF INSURANCE STIPULATED HEREIN. THE ABOVE COVERAGES ARE THE ONLY COVERAGES BOUND, <br />ANY COVERAGE REQUESTED IN THE APPLICATION THAT DIPPERS FROM THEABOVE IS NOT INCLUDED. THE INSURANCE IS SUBJECT TO <br />THE TERMS, CONDITIONS, LIMITATIONS, AND FORMS OF THE POLICY($) IN CURRENT USE BY THE COMPANY. THIS BINDER IS <br />CANCELLED SIXTY (60) DAYS FROM THE EFFECTIVE DATE OR WHEN REPLACED BY A POLICY, WHICHEVER COMES FIRST. <br />THE AGENT MUST READ THIS CERTIFICATE AND IF NOT CORRECT RETURN IT IMMEDIATELY TO BURNS & WILCOX, LTD, <br />BY: Harvey Goldenberg, Authorized Representative (CA INS LIC # 0828615), <br />,��"-"P< /UekMarwgement0[.visirnt <br />F REMEWEDEe APPROVFDBY: <br />R6kf�¢�n�gemGFlSAri�ly�t <br />
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