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Last modified
6/15/2022 12:42:05 PM
Creation date
6/16/2021 3:14:41 PM
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Contracts
Company Name
MAURICIO MOREIRA
Contract #
N-2021-130
Agency
Community Development
Expiration Date
6/30/2021
Destruction Year
2026
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N <br />r V <br />F <br />101 California Street, Suite 975, San Franc <br />'415) 421-4244 OR (800) 759-4855 Fax: <br />DATE: 4/712021 <br />INSURANCE BINDER <br />"ENDORSEMENTS & EXCLUSIONS: <br />o, CA 94111 <br />5) 421-0620 <br />Page 3 of 4 <br />UNLPFD1 -COMMON POLICY DECLARATIONS. <br />AF001772 -CLAIM REPORTING INFORMATION. <br />AF100 - POLICY JACKET. <br />AF3380 - FRAUD & MISREPRESENTATION ENDORSEMENT. <br />AF3550 -MINIMUM EARNED PREMIUM & CANCELLATION CLAUSE. <br />AF900 - SERVICE OF SUIT. <br />IL0017 -COMMON POLICY CONDITIONS. <br />SOFAE - 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 I 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 />AF001306 -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 OPERATIONS IN MISSOURI, <br />AF001752 -AMERICANS WITH DISABILITIES ACT AND DISCRIMINATION EXCLUSION. <br />AF3378 - AMENDATORY ENDORSEMENTS: CANCELLATION, CANCELLATION OF FINANCED POLICY, AUDIT <br />CONDITIONS. <br />AF3400 - SILICAOR SILICARELATED DUST EXCLUSION. <br />UNLPFSDIL- COMMERCIALGENERALLIABILITYCOVERAGEPARTDECLARATIONS. <br />AF001788 -TOTAL CANNABIS AND RELATED PRODUCTS EXCLUSION. <br />CG0001 - COMMERCIAL GENERAL LIABILITY COVERAGE FORM - CG0001 04.13. <br />CO2107 -ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY <br />EXCLUSION. <br />CG2167 -FUNGI OR BACTERIA EXCLUSION ((DOES NOT APPLY TO GOODS OR PRODUCTS INTENDED FOR BODILY <br />CONSUMPTION). <br />CG2426 -AMENDMENT 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 WATERCRAFT 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 />AF001741 -DESIGNATED OPERATIONS -STATE OF WASHINGTON EXCLUSION. <br />AF33509 - ASSAULT & BATTERY EXCLUSION REMOVAL (ENDORSEMENT TO REMOVE A&B EXCLUSION). <br />AF33510 - CLASSIFICATION LIMITATION. <br />AF33515A - NEW RESIDENTIAL CONSTRUCTION EXCLUSION, <br />AF33530 - SUBSIDENCE EXCLUSION. <br />AF3397 - EIFS EXCLUSION & DRYWALL EMISSION EXCLUSION. <br />CG0300 - DEDUCTIBLE LIABILITY. <br />"CO2144 -LIMITATION OF COVERAGE TO A DESIGNATED PREMISES / PROJECT <br />PROJECT: ELECTRICAL I UTILITY BOX PAINTING FOR CITY OF SANTA ANA """ <br />CO2154-OCIPANRAP-UP EXCLUSION. <br />CG2503 -PER PROJECT AGGREGATE:*** TYPIST INCLUDE THE FOLLOWING WORDING: "LOCATIONS AS REQUIRED <br />BY SPECIFIC WRITTEN CONTRACT' *** <br />AF001397 -BLANKET PRIMARY & NON CONTRIBUTORY WORDINGJTYPING -ADD THE FOLLOWING WORDING TO <br />FORM: "ANY PARTY FOR WHOM THE INSURED IS PERFORMING SERVICES, AT A SPECIFIED PROJECT SET FORTH IN A <br />WRITTEN CONTRACT, THAT: (1) HAS BEEN SIGNED BY ALL PARTIES, INCLUDING THE NAMED INSURED AND THE PARTY <br />SEEKING COVERAGE UNDER THIS ENDORSEMENT: AND (2) HAS BEEN ENTERED INTO BEFC 4Ac <br />� � , RleleMltYu�mcnCbivielon <br />" REM WED&APPROVED BY: <br />Risk Management Analyst <br />
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