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2023-431-E-Social Svc-Matala Psychological Services-psychological evaluations court testimony
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2023-431-E-Social Svc-Matala Psychological Services-psychological evaluations court testimony
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Last modified
8/24/2023 1:50:19 PM
Creation date
8/24/2023 1:50:11 PM
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Template:
Contract
Date
6/26/2023
Contract Starting Date
6/26/2023
Contract Ending Date
8/21/2023
Contract Document Type
Contract
Amount
$12,000.00
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Insured Copy <br /> <br />LD-24639 (01/08) <br />Policy Number <br />Endorsement No. <br />SCHEDULE OF GENERAL LIABILITY CHANGES <br />Named Insured Effective Date: <br />12:01 A.M., Standard Time <br />Agent Name <br />Agent No. <br />CLASS CODE INFORMATION AFFECTED BY THIS CHANGE IS ADDED, DELETED OR CHANGED AS INDICATED. <br />THE FOLLOWING CLASS CODE INFORMATION IS: <br />Code No. Premium Basis Premises/Operations <br />Location Exposure Rate Premium <br />Products/Completed Operations <br />Rate Premium <br />Classification: <br />THE FOLLOWING CLASS CODE INFORMATION IS: <br />Code No. Premium Basis Premises/Operations <br />Location Exposure Rate Premium <br />Products/Completed Operations <br />Rate Premium <br />Classification: <br />THE FOLLOWING CLASS CODE INFORMATION IS: <br />Code No. Premium Basis Premises/Operations <br />Location Exposure Rate Premium <br />Products/Completed Operations <br />Rate Premium <br />Classification: <br />THE FOLLOWING CLASS CODE INFORMATION IS: <br />Code No. Premium Basis Premises/Operations <br />Location Exposure Rate Premium <br />Products/Completed Operations <br />Rate Premium <br />Classification: <br /> <br />OGLG71879562 <br />07-22-23 <br />001 <br />278988 <br />TRUST RISK MANAGEMENT SERVICES INC DBA TRMS INSURA <br />KRISTY MATALA <br /> ACE American Insurance Company <br />Additional Insured <br />ALL <br /> 15.000 $ 15.00 <br />FLAT CHARGE <br />ADDED <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 7CBF367B-4F5C-4DA1-A542-6B5E57D6A1CD
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