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Contracts & Agreements_132-2017
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Contracts & Agreements_132-2017
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Last modified
2/4/2020 8:57:33 AM
Creation date
11/21/2017 9:22:25 AM
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Template:
Contracts & Agreements
Subject
Insurance Services
Details
Surplus Lines, TRIA Form, Claims Reporting, Bind Coverage.
Date
6/20/2017
Document Number
132-2017
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INTERNATIONAL INSURERS DEPARTMENT {IID) LISTING OF <br /> APPROVED NONADMITTED NON-UNITED STATES INSURERS. <br /> ASK YOUR AGENT, BROKER, OR "SURPLUS LINE" BROKER TO <br /> OBTAIN MORE INFORMATION ABOUT THAT INSURER. <br /> 7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS <br /> LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE <br /> INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE <br /> INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF <br /> INSURANCE• WWW INSURANCE.CA.GOV. <br /> S. IF YOU, AS THE APPLICANT, REQUIRED THAT THE <br /> INSURANCE POLICY YOU HAVE PURCHASED BE BOUND <br /> IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS <br /> GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE <br /> YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO <br /> BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE <br /> FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER <br /> COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO <br /> CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS <br /> DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL <br /> BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS <br /> INSURANCE WILL BE RETURNED TO YOU. <br /> Date: g/.Z.1/ ) 7 <br /> Named Insured: City of Redlands <br /> Authorized Signature�� <br /> Paul W Foster,Nlayor <br /> Attest <br /> Jea Donaldson,City Clerk <br /> D-1 (Effective July 21, 2011) <br />
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