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Last modified
8/26/2021 5:17:50 PM
Creation date
8/26/2021 5:16:08 PM
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Contracts
Company Name
ERIC BAUER dba ALLIANCE RACE TIMING
Contract #
N-2021-166
Agency
Parks, Recreation, & Community Services
Expiration Date
11/30/2021
Insurance Exp Date
6/1/2022
Destruction Year
2026
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CA Policy No. 90 EOG995 1 CMP-4786.1 <br />Page 1 of 2 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS <br />(Scheduled) <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Policy Number: 90 EOG995 1 <br />Named Insured: <br />BAUER, ERIC & JENNIFER <br />DBA SYNERGY RACE TIMING & <br />ALLIANCE RACE TIMING <br />813 HARBOR BLVD STE 305 <br />W SACRAMENTO CA 95691-2201 <br />Name And Address Of Additional Insured Person Or Organization: <br />City of Santa Ana, Risk Management <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />1. SECTION II — WHO IS AN INSURED of <br />SECTION II — LIABILITY is amended to in- <br />clude, as an additional insured, any person or <br />organization shown in the Schedule, but only <br />with respect to liability for "bodily injury , <br />"property damage", or "personal and advertis- <br />ing injury" caused, in whole or in part, by: <br />a. Ongoing Operations <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting <br />on your behalf; <br />in the performance of your ongoing opera- <br />tions for that additional insured; or <br />b. Products — Completed Operations <br />"Your work" performed for that additional <br />insured and included in the "products - <br />completed operations hazard". <br />However, Paragraph 1. above is subject to the <br />following: <br />b. If coverage provided to the additional in- <br />sured is required by a contract or agree- <br />ment, the insurance provided to the <br />additional insured will not be broader than <br />that which you are required by the contract <br />or agreement to provide for such addition- <br />al insured; and <br />c. If the contract or agreement between you <br />and the additional insured is governed by <br />California Civil Code Section 2782 or <br />2782.05, the insurance provided to the <br />additional insured is the lesser of that <br />which: <br />(1) Is allowed for the satisfaction of a de- <br />fense or indemnity obligation by Cali- <br />fornia Civil Code Section 2782 or <br />2782.05 for your sole liability; or <br />(2) You are required by contract or <br />agreement to provide for such addi- <br />tional insured. <br />a. The insurance afforded to the additional We have no duty to defend or indemnify the <br />insured only applies to the extent permit- additional insured under this endorsement un- <br />ted by law; til a claim or "suit" is tendered to us. <br />REVIE D & APPROVED <br />O, Copyright, State Farm Mutual Automobile Insurance Company, 21111 y RiSk NAGEMENr DIVISION <br />Includes copyrighted material of InsuranceNUEDces Office, Inc., with its permissio . <br />U 32021 <br />M. LAMBERT <br />
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