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Last modified
4/23/2021 4:11:30 PM
Creation date
6/21/2019 10:31:41 AM
Metadata
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Template:
Contracts
Company Name
OC HUMAN RELATIONS
Contract #
N-2019-105
Agency
PLANNING & BUILDING
Expiration Date
5/23/2020
Insurance Exp Date
4/26/2021
Destruction Year
2025
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POLICY NUMBER: PHPK2126137 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -DESIGNATED PERSON <br />OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of person or organization: <br />City of Santa Ana, its officers, employees, agents and representatives <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />Section II — Who is An Insured is amended to <br />Include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" caused, <br />in whole or part, by your acts or omissions or the <br />acts or omissions of those acting on your behalf: <br />A. In the Performance of your ongoing operations: or <br />B. In connection with your premises owned by or rented to you. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />1%22 <br />I-ItANI INE R. VILLAREAL <br />CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 <br />
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