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Taller San Jose 4a
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Taller San Jose 4a
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Entry Properties
Last modified
10/20/2015 3:09:08 PM
Creation date
12/10/2004 11:51:49 AM
Metadata
Fields
Template:
Contracts
Company Name
Taller San Jose
Contract #
A-2004-114
Agency
Community Development
Council Approval Date
6/7/2004
Expiration Date
6/30/2004
Insurance Exp Date
6/30/2004
Destruction Year
2009
Notes
Amends A-2003-251
Document Relationships
Taller San Jose 4
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\T (INACTIVE)
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RiBhtFax <br />9/11/2003 7:34 PAGE 2/3 RiShtFax <br />A 0RD- CERTIFICATEQF LIABILFTY INSURANCE <br />Raga 1 o>E x <br />09/11/2003 <br />"011ud" 677 -539 -6769 <br />n111s Nscth Arrsaa, Ina. - 9 gional Cart antac <br />11201 W. satua 63rd• <br />THIS CERTIFICATE IS murD AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suit. 300 <br />_ P6a.eia;, AL asasa - <br />INSURERS AFFORDING COVERAGE <br />IIIBL111Ep ala f o! St. J..Vh of Ot,u <br />490 Beath motor" <br />0-1101 Q 928" <br />MIlgAEAA: LTartf.L-d'Iaaa:sl . oa Ca of t4. Xidwat 37479-001 <br />Nsuml1 . <br />rox"e: <br />IAIBUEAD: <br />INrIlRE' <br />THE POLICIES OF INSURANCE LISTED EELOW HAVE BEEN ISSUED TO THE IN9UAW NAMEOABOVE FORTHE POLICY PEFAOD NDICATED. NOTWITHSI'ANDNO <br />ANY REOUIRBAEHr, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OA <br />MAY PERTAIN THE INSURANCE APFOROW BY THE POLLOIES DESCRIBED HEREIN O BURACT TO ALLTHE TERMS, EXCLUSIONS AND OONDITIONE OF SUCH <br />POU012 AOII QATE LA41TSSH0NNMAY HAVE6EmW REDUCEDaYPAIDCLAM. <br />TYPEOFMUYNOF <br />POLICY mumpt <br />UNITS <br />GOMEAA.U"IUM <br />EACHOCOURRENCE <br />La99ERTJALta!lEiNL11,VR11Y <br />CLAMBMlDE ❑OCCUR <br />RREDAMAOE A asln <br />M ®OW Oo <br />PERSONAL&A IMURY <br />CENERALACaREBATE <br />f <br />OOMAOOMO,ITELW <br />APPLGPPA: <br />Fgpp1ICT8- CCAI10PA00 <br />P M IOC <br />AUT6WILELLWLITY <br />ANYAROE <br />gMIaaEUYR <br />E <br />ALLCMNEDAUTC! <br />KHMLLMNiroa <br />C+ PM Y <br />a <br />HOrDLYaaidsp <br />a <br />lAIaLAUTDB <br />Namovo flAUPOa <br />APPRO <br />ED AST <br />FORM <br />�PRl �IOVIAfiE <br />a <br />a UTAMLRy <br />ANYAUTD <br />LR rE S <br />Aaoorar- EAAxDERr <br />a <br />dy <br />IIIRi EAACC <br />TI <br />ONN <br />AUTOCKY: ADO <br />a <br />EIEC7Y uAaaRr <br />OCCUR CLAarLMDE <br />EACH OCelaa6lcE a <br />A UIRELIATE s <br />amuclIB.E <br />IE191710N <br />a <br />17aIBLatl COWas)AnONANO <br />PAPLATIOWMmufy 72MIC93300 5/31/2003 5/31/2004 <br />IF <br />ELF.ACN ACODPlfT i <br />EL DISEASE -EA FJFLOYEE t <br />anlax <br />EL DISEASE- ROl1DYLMT 7 <br />058CRPRONOFO/ LIMTNNaROCjTCaa IY04OLRLUOLMOMAMED BY RIDaftsmWrya9ayAL IaOMNyM <br />ELM: liSJO Atha Tollat Ban Joss, Sle k Gt t, B10 W. Eoiwotta, S=ta JRa, <br />CA 927D1 <br />C DER AD sruNm: Bruno Lame.. <br />o! aulta aaa, ita o!liaa l agwts <br />aLplo7os ccoomm ty Ayapay <br />aia actor Plasa <br />12 �.ioa:':sz 1780 <br />7 <br />• Aa., Ca fOT02 <br />Tpl <br />rOIaOANYOPTNBABOYa SaaCABBW POUCIEI aEGINCELLW t4POABTNE a[RMTON <br />Wl6 TMeakpA TW rWINO MYRER HILL rISEAVan t0 AWL 30 aAn anB M <br />fXMCETO THE CIMRCATE NOLDER NAM W TO THE LLiT IL <br />
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