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Last modified
6/13/2022 5:09:26 PM
Creation date
8/29/2019 5:57:00 PM
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Contracts
Company Name
DAVIS, LA VERNE
Contract #
N-2019-154
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2020
Destruction Year
2025
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POLICY NUMBER: 6BRPG0000006905300 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A. Cancellation, 2.b. is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: LaVerne Davis <br />Additional Insured: City of Santa Ana, Risk Management, its officers, employees, agents, representatives and <br />volunteers <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />CP# 1813 <br />Effective: 08/15/19 — 08/15/21 <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />SEP 0 3 2019 <br />FRANCINE R. VILLAREAL <br />SRPG8016 09/08 <br />
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