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Last modified
8/19/2024 10:49:00 AM
Creation date
5/15/2023 4:39:22 PM
Metadata
Fields
Template:
Contracts
Company Name
https://ecms.santa-ana.org/Forms/LOA
Contract #
A-2023-033-02
Agency
Public Works
Council Approval Date
3/21/2023
Expiration Date
3/20/2026
Insurance Exp Date
8/28/2023
Destruction Year
2031
Notes
For Insurance Exp. Date see Notice of Compliance
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DocuSlyn Envelope ID: FC7E9346-BA22-4923-eD05-AA3CA0439841 <br />Attachment Code: D574649 Certificate ID: 16765248 <br />Additional Insured — Owners, Lessees Or <br />Contractors — Scheduled Person Or Organization <br />Policy No. GLOO146311 I Effective Date: 8/28/2022 <br />This endorsement modifies insurance provided undq <br />Commercial General Liability Coverage Part <br />SCHEDULE <br />ZURICH <br />Name Of Additional Insured Person(s) <br />Or Organization(s): <br />Location(s) OF Covered Operations <br />ANY PERSON OR ORGANIZATION ARE REQUIRED <br />ALL <br />TO PROVIDE ADDITIONAL INSURED STATUS IN <br />LOCATIONS <br />A WRITTEN CONTRACT, AGREEMENT OR PERMIT, <br />U-GL-2169-A CW (02I19) <br />Page 1 of 2 <br />Includes copyrighted material of Insurance Services Office. Inc._ with Its permission_ <br />
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