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DAVIS, LA VERNE
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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 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PRIMARY INSURANCE — ADDITIONAL INSURED <br />This endorsement modifies insurance under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, a. the following is added: <br />Coverage afforded under this Policy is primary insurance and OTHER INSURANCE shall not apply as respects to the <br />additional insured named below, however this insurance does not apply to the sole negligence of such additional insured. <br />Further, we will have no duty to defend such additional insured against any suit to which this insurance does not apply. <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 />Named Insured: LaVerne Davis <br />CP# 1813 <br />Effective: 08/15/19 — 08/15/21 <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT Di WON <br />SEKh1Q0 3 2019 <br />FRANCINE R. VILLAREAL <br />SRPG8018 09/08 <br />
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