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JOSHUA BOBROVE (2)
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Last modified
8/9/2022 3:04:33 PM
Creation date
8/9/2022 3:01:44 PM
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Contracts
Company Name
JOSHUA BOBROVE
Contract #
N-2021-025-01
Agency
Public Works
Expiration Date
12/15/2021
Insurance Exp Date
12/19/2022
Destruction Year
2026
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AGENCY CUSTOMER ID: <br />LOC#: <br />ADDITIONAL REMARKS SCHEDULE <br />�Page 2 of 2 <br />AGENCY NAMED INSURED <br />HILL & USHER INS & SURETY/PHS PHOTOGRAPHY BY JOSHUA BOBROVE <br />POLICY NUMBER 2419 VISTA DEL CAMPO <br />SEE ACORD 25 SANTA BARBARA CA 93101-4662 <br />CARRIER NAIC CODE <br />SEE ACORD 25 <br />EFFECTIVE DATE: SEE ACORD 25 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM <br />FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Coverage is primary and noncontributory per the Business Liability Coverage Form SL 00 00, attached to this policy. CITY <br />WILL BE MAILED 30 DAYS WRITTEN NOTICE OF POLICY CANCELLATION AND THE REFERENCES "ENDEAVOR TO" <br />AND "FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />COMPANY, ITS AGENTS OR REPRESENTATIVES' SHALL BE REMOVED OR CROSSED OUT. <br />WakMansganer&WslDn <br />R20EWM & APPROVED Br. <br />ACORD 101 (2014/01) C 2014 ACORD CORPOF `�7 4p ANw..� <br />The ACORD name and logo are registered marks of ACORD Risk Management specialist <br />
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