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SOUTHCOAST HEATING & AIR CONDITIONING LP 20-21
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Last modified
6/15/2020 3:38:47 PM
Creation date
6/9/2020 4:08:27 PM
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General
Department
City Clerk
General - Type
Agendas
General 2 - Date
6/9/2020
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AGENCY <br />M&T Insurance Agency, Inc. <br />POLICY NUMBER <br />CARRIER <br />ADDITIONAL REMARKS <br />AGENCY CUSTOMER ID: AMER117 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />NAIC CODE <br />NAMED INSURED <br />Southcoast Heating & Air Conditioning, LP <br />Branch #9304 <br />2373 La Mirada Drive <br />Vista CA 92081 <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />CG2404-0509-Waiver of Transfer of Rights of Recovery Against Others To Us; <br />Automobile Liability Policy Endorsements: <br />CA2048-1013-Designated Insured for Covered Auto Liability Coverage; <br />CA0444-1013-Waiver of Transfer of Rights of Recovery Against Others To Us (Waiver of Subrogation); <br />PCA048-1013-Additional Insured/Designated Insured Amendment -Primary and Non -Contributory; <br />Workers Compensation Policy Endorsements: <br />WC000313-Waiver of Our Right to Recover From Others Endorsement. <br />Page 1 of 1 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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