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2022-111-E-Housing-Mental Health Services for Homeless Persons-diversion training
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2022-111-E-Housing-Mental Health Services for Homeless Persons-diversion training
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Last modified
3/18/2022 9:14:53 AM
Creation date
3/18/2022 9:14:40 AM
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Template:
Contract
Date
3/15/2022
Contract Starting Date
3/15/2022
Contract Ending Date
3/17/2022
Contract Document Type
Contract
Amount
$2,750.00
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Mental Health Services for Homeless Persons Inc., DBA: FrontLine Service <br />00117932 <br />SeibertKeck Insurance Partners <br />25 Certificate of Liability Insurance <br />Cyber: <br />Policy: 596353062 <br />8/3/2021 to 8/3/2022 <br />Limit: $1,000,000 <br />Deductible: $10,000 <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />DocuSign Envelope ID: CCCA06D6-23EA-42BE-85F3-A3E99A7659E2
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