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SUAREZ, RAYMUNDO 2f
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SUAREZ, RAYMUNDO 2f
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Entry Properties
Last modified
5/28/2015 11:52:29 AM
Creation date
8/24/2011 9:54:36 AM
Metadata
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Template:
Contracts
Company Name
RAYMUNDO SUAREZ
Contract #
N-2005-101-006
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2012
Insurance Exp Date
7/23/2012
Destruction Year
2011
Notes
Amends N-2005-101, -01, -02, -03, -04, -05 Amended by N-2005-101-007
Document Relationships
SUAREZ, RAYMUNDO 2
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2a
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2b
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2c
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2d
(Amends)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2e
(Amends)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SUAREZ, RAYMUNDO 2g
(Amended By)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
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POLICY CHANGE DOCUMENT <br />POLICY NO. CHANGE # 2 CHANGE EFFECTIVE: 07/23/2011 <br />PHPK751 184 -000 <br />Philadelphia Indemnity Insurance Company PRODUCER: Maguire Insurance Agency, Inc. <br />NAMED INSURED <br />MAILING ADDRESS <br />Raymundo Suarez <br />610 S. Townsend St. <br />Santa Ana, CA 92703- <br />POLICY PERIOD: FROM 07/23/2011 TO 07/23/2012 at <br />12:01 A.M. Standard Time at your mailing address shown above. <br />DESCRIPTION _ <br />In consideration of the premium reflected, the policy is amended as indicated below: <br />Amended: Additional Insured City of Santa Ana, its officers, agents, and employees Form CG2026- <br />Additional Insured Designated Person or Organization applies <br />Total Annual <br />Additional /Return Premium <br />Total Annual <br />Add itiona I /Return <br />Tax/Surcharge /Fee <br />COUNTERSIGNED <br />Total Prorate <br />$0.00 Additional /Return Premium <br />$0:00 <br />Total Prorate <br />Additional /Return <br />$0.00 Tax/Surcharge /Fee $0.00 <br />BY <br />(Date) (Authorized Representative) <br />Page 1 of 1 <br />
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