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PEREZ, BRITTANY LOUISE
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PEREZ, BRITTANY LOUISE
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Last modified
8/4/2022 5:18:56 PM
Creation date
8/4/2022 5:17:57 PM
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Contracts
Company Name
PEREZ, BRITTANY LOUISE
Contract #
N-2022-204
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2023
Insurance Exp Date
7/1/2023
Destruction Year
2028
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POLICY NUMBER: MlRPGOOO0000016600 <br />COMMERCIAL GENERAL LIABILITY <br />CG 24 04 05 09 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Person Or Organization: <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 90022 <br />Named Insured: Brittany Perez <br />CP# 3796 <br />Effective Date: 07/02/2022 — 07/01 /2023 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />The following is added to Paragraph 8. Transfer Of <br />Rights Of Recovery Against Others To Us of Section <br />IV — Conditions: <br />We waive any right of recovery we may have against the <br />person or organization shown in the Schedule above <br />because of payments we make for injury or damage <br />arising out of your ongoing operations or "your work" <br />done under a contract with that person or organization <br />and included in the "products -completed operations <br />hazard". This waiver applies only to the person or <br />organization shown in the Schedule above. <br />CG 24 04 05 09 © Insurance Services Office, Inc., 2008 <br />RDtuwon <br />A- ju Acwata <br />a,, Risk Management Specialist <br />00 <br />
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