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DEVORA LEMUS (3)
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Last modified
5/6/2021 12:19:14 PM
Creation date
5/6/2021 12:15:27 PM
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Contracts
Company Name
DEVORA LEMUS
Contract #
N-2021-010-02
Agency
Community Development
Expiration Date
6/30/2022
Insurance Exp Date
12/1/2021
Destruction Year
2027
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101 California Street, Suite 975, San Franolsoo, CA 94111 <br />Phase: (415) 421.4244 OR (800) 759-4865 Fax; (415) 421.0620 <br />DATE: 11119/2020 NSURA]NCE BINDER Page 4 of 4 <br />QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE <br />MINIMUM PREMIUM APPLIES <br />NO ARS INCLUDED, <br />PLEASE REVIEW THIS BINDER CAREFULLYAS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED, <br />THIS COMPANY BINDS THE KIND(S) OF INSURANCE STIPULATED HENEIN, THE ABOVE COVERAGES ARE THE ONLY COVERAGES BOUND, <br />ANY COVERAGE REQUESTED IN THE APPLICATION THAT DIPPERS FROM THE ABOVE 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 EPPECTIVE DATE OR WHEN REPLACED BY A POLICY, WHICHEVER COMES FIRST, <br />THEAGENT MUST READ THIS CBRTIFICATEANOIF NOT CORRECT RETURN IT IMMEDIATELY TO BURNS & WILCOX, LTD. <br />BY: Harvey Goldenberg, Authorized Representative (CA INS LIC # 0628615) <br />ro�.� PJakManq�mmenutriw;lms <br />C, gLMMP&APPNovwIIyr <br />1 k, Vet <br />RI,nLRtiann9ementAiia&ir <br />
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