Notice of Policy Conditional Reneweal - Costa Mesa Community Athletic Association DBA: Costa Mesa United 2025-03-18UNITED STATES LIABILITY INSURANCE COMPANY
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NOTICE OF POLICY CONDITIONAL RENEWAL
Costa Mm Sanitary DOW
Named Insured & Mailing Address:
COSTA MESA COMMUNITY ATHLETICS
FOUNDATION DBA: COSTA MESA UNITED
17OOADAMS AVE, SUITE 212
COSTA MESA CA 92626
Producer: 3417
ARTHUR x.GALLAGHER RISK MANAGEMENT
SERVICES, LLCMESA)
uuoWEST 1uTnSTREET
COSTA MESA CA 92627
Policy No.: NBP 1564027B
Type of Policy: NON PROFIT BUSINESS OWNERS PACKAGE
Date of Expiration: 05/31/2025; 12:01 A.M. Local Time at the mailing address of the Named Insured.
| This notice is to advise that we are agreeable to renewing this policy subject to the following:
The following form(s) will be added at renewal: DO 314 BIOMETRIC INFORMATION EXCLUSION, DO 315
Biometric Information And Genetic Information Exclusion.
Additional Insured
THE COSTA MESA SANITARY DISTRICT,
IT'S ELECTED AND APPOINTED OFFICIALS,
28OPAULAR|NOAVENUE
COSTA MESA CA 92626
Date Mailed:
18th,fty of March, 3925
JAMES FUSARO
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