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OLSEN, KRIS 1 -2004
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OLSEN, KRIS 1 -2004
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Entry Properties
Last modified
1/3/2012 2:25:22 PM
Creation date
11/16/2004 3:53:08 PM
Metadata
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Template:
Contracts
Company Name
Kris Olsen
Contract #
N-2004-067
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2005
Insurance Exp Date
1/1/2005
Destruction Year
2009
Notes
Amended by n-2004-067-01
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<br />- <br /> <br />. <br /> <br />SEP-23-20Ø4 lØ:07 <br /> <br />L.P.G.A. <br /> <br />3862741092 <br /> <br />P. 01/01 <br /> <br />SEP-21-2004 1'Œ 02;24 PtI nK SPORTS <br /> <br />FJ\X NO. 2604695120 <br /> <br />P. 02 <br /> <br />, <br />""';"~'- .¡; <br />-' <br />~ - <br /> <br />.- - <br /> <br />pÕicy c:nange()o02 <br />Number <br />THIi !iNDORSEMENT Çt!Þ.NGeS THE POUCY. PLEASE: READ IT CAREFULLY. <br /> <br />.-../ <br /> <br />'-' <br /> <br />GU 26S <br />(11-81) <br /> <br />1L12m n as <br /> <br />POUCY CHANGES <br /> <br />POuCV NO. <br />T7 0OOOOO121P70D <br /> <br />POLIOY ClWlGI!S <br />EFFECTM! <br />09tJ.0/04 <br /> <br />COMPAIIIY <br />VJ:RGINn SURS'rY CO!G'1UO[ ¡ <br />INC. <br /> <br />NAMI') INSURED <br />LADIES PROnSSXONAL GOLl" ASSOCIA'J)IOR <br /> <br />~~IIITA'I1\Ia <br />~ :mßCl!1IHCB 1IGEN~.mc. <br /> <br />DOVERAGE PARTS »1'è(.1 ED <br /> <br />PAßß 01 OF OJ. <br /> <br />~ aBNBRAL LIA'Bn.rrt <br /> <br />cttANGES <br /> <br />TI!E POLrCY is AMB1IPED AS FOLLOWS, <br />'!'!IE CIfi OF SI\!ITA ANA, ITS ()¡;'f.IaALS, æ(P'LO!US VOL~ AND <br />R!lpliESE!II'rA'1'IVES Al!S ADDBtI 1-9 ADDITIONAL JJilSDRRDS ON THE POLICY. <br /> <br />PORM VSD76GL IS BSING ¡¡DDBD 'J:O THE POLICY w:rm RBSPKC'l'S TiŒ AJ!OI/ÓO <br />MJ!N'l':I:01ItSD JlPPrrIONAL J:NS1JRE). <br /> <br /> <br />'.Wi: nïSURED :aBRI1JSY AW<NOJIIoiiI""'"'~ iHAT ~ CANCELL!\,'!'ION OF THS PeLle1/' IQ <br />IMPAIRED OOE 'J:O 'l'Hl;: A'1"l'ACHED VSK876GL AND WILL B2 ¡rss1i'OJlSJ:BLK l1'CIIi .!\NY <br />P ttIM p~ DUB D'CRING THE !>1C'I'U'J:CATIOlil PERIOD. <br /> <br />~ <br />"NAMB <br />RE: IUVBRV1iW GO'!3 C:OtnU1il <br /> <br /> <br />~ <br /> <br />2-/~ <br /> <br />- <br />C~I~nœSl;lr\llCM~.lnG"J 1983 <br />Cop¡Irighl,l90 CoInmorolol RiSI< s.r.;œ., Inc. 1983 <br /> <br /> <br />JA <br /> <br />09/13/04. <br /> <br />TnT¡::j P. ~1 <br /> <br />
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