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CAMPOS, YESSICA (2)
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CAMPOS, YESSICA (2)
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Last modified
6/2/2022 3:48:06 PM
Creation date
12/24/2019 7:51:43 AM
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Contracts
Company Name
CAMPOS, YESSICA
Contract #
N-2019-262
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2020
Destruction Year
2025
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POLICY NUMBER: 6BRPG0000007214200 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, officers, agents, employees, and volunteers <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Effective: 01 /01 /2020 — 01 /01 /2021 <br />Named Insured: Yessica Campos <br />CP# 11 <br />REVIEWED & APPROVED <br />9Y Ri MANAGEMENT DIVISION <br />EC <br />202019 <br />SAMANTHA M. LAMBERT <br />SRPG8018 09108 <br />
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