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TIBURON, INC. 3 - 2009
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TIBURON, INC. 3 - 2009
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Last modified
1/3/2012 1:59:58 PM
Creation date
1/21/2010 8:44:52 AM
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Contracts
Company Name
TIBURON, INC.
Contract #
N-2009-146
Agency
Fire
Expiration Date
3/1/2010
Destruction Year
2016
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HAVE BEEN TO THE INSURED NA 7HE INDICATED. 7ANDMIG <br />ANY REOIJIT, 7EIlM OR CONdiION OF ANY CONTRACTOR OTHER DOCUMENT YYITH RESPECT TO 1fYIMCH TH18 CERTIFIP.ATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSVRANCE AFFORDED BY THE POLICES DESCRIBED HEREIN M SUBJECT Tb ALl THE TERMS, EXCLUSIONS AND CONDITIONS OF 8UCH <br />POLICES. AGOREOATE LNMTB 8H0'WN MAY HAVE BEEN REDUCED 8Y PAID ClA1MS. <br />~ ~ Y EFFBCTNE ~~ EXPIRATION <br />LT <br />'R NBRa TYPE OF EISURANCE POLICY NUM9ER LIMtB <br /> OE NER#L LMJIE.11'1f EACHOCXrURRENCE S 1 OOO OOO <br />A X OOMMERCIAL GENERAL LuJ~IUTY 3591-10-23 9/1/2009 9/1!1010 i 1 000 000 <br /> CUUMB MAC x[] D~~ MAD EXP (Aty ana : l0 000 <br /> PERSONAI. a ADV INJURY s 1000 000 <br /> GENERALAGGREOATE i 2 OOO OOO <br /> OENL AOOREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG i 2 OOO OOO <br /> PRO- <br /> P000Y JECT LDC <br />B AUTOMOBLELMBE.lTY 7355-87-29 9f1/1009 9/1/20]0 CONBgrEDSINGLEUMrt' i 1 <br />000 <br />000 <br />A X ANY AUTO 7355-B7-27 (VA) 9/12009 9/12010 (Ea aocidK~Q , <br />, <br /> A~IJ.OWNEDAUT06 APP VED O ~O BooILYINJURY <br /> <br />SCHEDULED AUTOS <br />l~rP~~) : ~ <br /> X FIRED AUTOS .~ BODILY INJURY <br />i }{} <br /> (PeraeddarN) <br /> NONdNMEDAUTOS <br /> r <br />J o s e ~~ ~ Straka <br /> PfLpPFJtTY DAMAGE <br /> <br />Assist~lnt ~ <br />Attprne <br />(~~^~ _ }~;KXXXXX <br /> GARAOE LIABLRY AUTO ONLY - EA ACCIDENT S <br /> NOT APPLICABLE <br /> ANY AUTO OTHER THAN EA ACC i X~ <br /> AUTO ONLY: AGG S Q~ <br /> ExcESS-uMeR~u LMaILIrY EACH ~~~~ 10 000 000 <br />D X OCCUR ~ CLAIMS MADE Ol 1785819 9/12009 9/12610 AGOREGV4TE i O OOO OOO <br /> UMBI~LLA i XXXXX}IX <br /> ^ <br />ARM <br /> DEDUCTXiLE i }QQ~Q{}Q{ <br /> X RETENTpN i lO QOO i XX}~~Q~ <br />C V~gRKdIBCOMPENBAl1DNAND 7173-97-17 9/12009 4/1/2010 }{ A <br /> EIXPLOYEIM'LUIBIUTY <br />1 <br />000 <br />000 <br /> qpy ppOpR1ETOR1PA1[iN~J~7fFGUfNE E.L EACH ACCIDENT , <br />, <br /> oFFlCERfAEMiER E1~WD®i <br />H <br />r <br />~h.~er <br />E.LDISEASE-EA9NPLOYEE <br />S 1,000,000 <br /> . <br />w <br />T10 <br />apECta~PeowaaNarw <br /> ,. EL DISEASE-POLICYUMIT S 1,000,000 <br /> OTHER <br />A [mhOstionflaaper 359]-10-23 9112009 9112010 Limr:S5,000,000 <br /> Dedachbla: Slo,ooo <br />DEBCRIPTIDN OF OPERATIONSILDCATgN81YEliCLE91E]CCLU810N8 ADDED BY ENDDRSEAENTfBPEpAL PROVISIONS <br />0 <br /> <br /> <br />7 YO V3000 SIiOULO ANY OF THE ABOVE DEECIAlED POLX~ BE CANCELLW BEFORE THE EXAttATpN <br />Santa Ma oGce Department 0117E THEREOF, rIE IesuNG NSIl1tBt wrLL ENDEAVOR To MAIL "ice onYa wRrrTEN <br />8(1 Civic ter PI8Z8 NOTICE TO THE CERTFICATE HOLDER MIMED TO THfi LEFT. Bur FAILURE To 0o sb iIIALL <br />_ Santa Ar)~:'CA ~~ ~ O IMPOSE NO oeI.XIATX)N OR LIAMLITY OF ANY IOhlo UPON THE M16URER, TTB A6ENTa oR <br />. REPRESBlTATNES, <br />AUTHORQED <br />Z... .. l <br />Y-~. <br />,; ~ e~ f av <br />ACORD46{2pp1/O81 For~Ywao~~nyrAlnylhhea611r~Y,a0a1MO11M~YdhIMTre~uwft~dona~w~~Ms.dr eowaaavop~car. ACARDCORP[]RATbM7BRR <br />
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