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Last modified
2/10/2016 7:20:11 AM
Creation date
1/24/2014 2:30:18 PM
Metadata
Fields
Template:
Contracts
Company Name
CONEXIS
Contract #
N-2014-003
Agency
Personnel Services
Expiration Date
12/31/2016
Insurance Exp Date
1/1/2016
Destruction Year
2012
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,j ,C)) 5 - QO5' <br />AccaRca EVIDENCE <br />OF PROPERTY INSURANCE <br />DAT6IM vvi <br />�..."'- <br />12/31//20192014 <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUE AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDEN E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />A(lENCY ... •IM,' 41 391 2141 COMPANY <br />Wcrldrafa-Sawyer & :PraveleY.s Property Casualty Company of America <br />eCo.t, Floor 12 <br />EO Carancisco <br />Idrl Francisco CA 93111 <br />CA 9.11, <br />IAIG tl9L.._8801Omonft.andc.o Ci)R _.... _�_. <br />FAX 415 IBI 9923 AMAILDDRE99 <br />„ .._-,. ._,.._,_ _ <br />CODE: _ �.8Ua CODE: <br />AUSO ACMINC-01, <br />CUSTOMER IDXW <br />INSURED LOAN NUMBER I POLICY NUMBER <br />Waga.Works, Inc. j6305C0E9598 <br />1100 Park Place — <br />San Mateo CA 9440:3 '., EFFECTIVEDATb EXPIRATION DATE CON IINUEU UNTIL <br />qt./C1/2D I5 tI1f E1f201$ �TERMINATED IF CHPCRF.D <br />i.., <br />_ ., .......,... <br />I, THIS REPLACES PRIgR F.VID6NGE DATED: <br />PROPERTY INFORMATION <br />LOCATIONI06saUPTION <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE a <br />EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CON <br />(TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED 0 <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRISED HEREIN IS <br />SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITI <br />NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />COVERAGE INFORMATION <br />COVERAGE I PERILS <br />FORMS <br />AMOUNTOFINSUR,INCE1 DEDUCTIBLE <br />Business Personal Property <br />$32,034,120 ($2, 5DO <br />Business lnr Fme & Extra Expcnce <br />$5,000,000 124 Mourn <br />- Special Form / Replacement foot <br />i <br />I <br />REMARKS (Including 5 acial Conditions <br />issued for Evidence of Insurance Purposes Only <br />_. <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLtCIEBE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVI;ONS. <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />ADDITIONAL INTEREST <br />_ .................._,r. <br />NAME AND ADDRESS <br />_,__. _.. ._.....�..__ <br />� !lAORtOAGEE � ADDITIONAL INSURED <br />e... t <br />WageLLSSPAYEE <br />1,100 Orkn, Inc.anIOANA <br />L100 Plage <br />__. ., .... _... <br />. <br />isenPark <br />Snn. Mateo CA 34403 <br />i AUT�HO�RjIZED�(A�EP�0.E,BE,NTATIVE <br />ACORD 27 (2009/12) ©1993.2009 ACORD CORPORATION. All rights reserved. <br />The ACORD na a and logo are registered marks of ACORD <br />
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