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BIG BEN, INC.
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BIG BEN, INC.
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Last modified
5/3/2021 2:59:31 PM
Creation date
5/3/2021 2:57:04 PM
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Contracts
Company Name
BIG BEN, INC.
Contract #
N-2021-083
Agency
Public Works
Expiration Date
6/30/2021
Insurance Exp Date
7/1/2021
Destruction Year
2026
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AGENCY CUSTOMER ID: BIGBENC-01 <br />LOC #: 1 <br />A� �® ADDITIONAL REMARKS SCHEDULE <br />CTYLER <br />Page 9 of 1 <br />AGENCY License # OM70471 <br />Orion Risk Management Insurance Services, An Alem GroupInsurance Agency, LLC <br />Y <br />NAMED INS➢RED <br />Biqq Bon Inc. <br />MO Irvine Blvd. #105-404 <br />Irvine, CA 92620 <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />NAIL CODE <br />EFFECTNE DATE: SEE PAQF 1 <br />EE PAGE 1 <br />SEE P 1 <br />THIS ADDITIONAL REMARKS FORM IS A SCHBDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: certificate of Liability Insurance <br />Description of OperationelLocatlons7Vehicles: <br />30 Days Notice of Cancellation (non -reporting if applicable) apply per policy provisions. <br />ACORD 109 (2008101) 02008 ACORD CORP + REVIVMD&APPROVEDBY: <br />The ACORD name and logo are registered marks of ACORDARW <br />$nl4P7++1 S9r1a <br />RukManagerrx;nt Maryat <br />
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