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BERNAL, YENNY (2)
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BERNAL, YENNY (2)
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Last modified
10/3/2018 7:55:26 AM
Creation date
10/2/2018 10:41:18 AM
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Contracts
Company Name
BERNAL, YENNY
Contract #
N-2018-102-01
Agency
Community Development
Expiration Date
12/31/2018
Insurance Exp Date
5/6/2018
Destruction Year
2023
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N-2018-102-01 <br />Exhibit B <br />ADDITIONAL INSURED ENDORSEMENT FOR <br />COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company: State Farm Insurance <br />This endorsement modifies such insurance as is afforded by the provisions of Policy Number: <br />92 -EZ -K512-8 relating to the following: <br />1) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />employees, agents and representative are named as additional insured ("additional insured") <br />with regard to liability and defense of suits arising from the operations and uses performed <br />by or on behalf of the named insured. <br />2) With respect to claims arising out of the operations and uses performed by or on behalf of the <br />names insured, such insurance as is afforded by this policy is primary and is not additional to <br />or to contributing with any other insurance carried by or for the benefit of the additional <br />insured. <br />3) This insurance applies separately to each insured against whom claim is or suit is brought <br />except with respect to the company's limit of liability. This inclusion of any person or <br />organization as an insured shall not affect any right which is such person or organization <br />would have as claimant if not so included. <br />4) With respect to the additional insured, this insurance shall not be cancelled, or materially <br />reduced in coverage or limits except after thirty (30) written notice has been given to the City <br />of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />Effective April 18, 2017 this endorsement form as a part of Policy Number: 92 -EZ -K512-8 <br />Issued Yenny Bernal DBA Uplifting Soul Art Events. <br />Countersigned by 7 41 06Z�&aAz,4 <br />Authorized Representative <br />P2..2 <br />,.�eA \0`) <br />
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