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Last modified
7/12/2021 11:25:22 AM
Creation date
7/12/2021 11:24:05 AM
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Contracts
Company Name
MARK THOMAS
Contract #
A-2018-159-07A
Agency
Public Works
Council Approval Date
6/19/2018
Expiration Date
6/18/2023
Insurance Exp Date
9/15/2021
Destruction Year
2028
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CNA <br />Changes - Notice of Cancellation or Material <br />Restriction Endorsement <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EMPLOYEE BENEFITS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />RAILROAD PROTECTIVE LIABILITY COVERAGE PART <br />STOP GAP LIABILITY COVERAGE PART <br />TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART <br />SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY — NEW YORK DEPARTMENT OF <br />TRANSPORTATION <br />SCHEDULE <br />Number of days notice (other than for nonpayment of <br />premium): <br />30 <br />Number of days notice for nonpayment of premium: <br />10 <br />Name of person or organization to whom notice will be sent: <br />City of Santa Ana <br />Address: <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. <br />It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the <br />policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person <br />or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner <br />prescribed in the above Schedule. <br />All other terms and conditions of the Policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes <br />effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown <br />below, and expires concurrently with said Policy. <br />CNA74702XX (1-15) <br />Page 1 of 1 <br />Insured Name: Mark Thomas & Company, Inc. <br />Copyright CNA All Rights Reserved. <br />o3�nc� IUBR mvwg T@tt uh1 m <br />[i [REVIEWED&DAPPRO EDSY.' <br />A R¢k Management Malyst <br />57714301 1 M KP-1 1 20-21 Master Certificate I Pra hjot Na r 19/23/2020 2;39:23 PM (PDT) I Page 9 of 11 <br />
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