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Pany: Address: NAIC Code: Policy No.: Policy Period (from): (to): Deductible of $ Telephone: Self-Insured Retention of $ NAMED INSURED APPLICABILITY Company: Address: This insurance pertains to the operations, products, and/or activities of the Named Insured under all written contracts/agreements in force with the San Diego County Water Authority. TYPE OF INSURANCE CLAIMS Representative for claims pursuant to this insurance Name: Claims Made Form Retroactive Date: Address: Occurren.
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