Laserfiche WebLink
SEP—Lq!-2003 , 11:04 FRW-ALL CAL I"$ <br />9167040158 T-502 P.002/003 F-27T <br />POLICY WMBM, 20020IM <br />COMMERCIAL GENERAL LIABILITY <br />THIS I ? DORSEMENT CHANGES THE POLICY. PLEASE READ rr CAREFULLY. <br />AL if dTIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This andorsemern nwft i twt.nce provided under the followirp: <br />COMMERCIAL, GENM L LIABILITY COVERAGE PART. <br />SCHEDULE <br />11.1a•2m / 11-YB-20W <br />NAME OF PERSON OR O } iAWAMN: THE CITY OF SANTA AWL, LTS OPME S, EMPLOYEES, AGENTS, <br />VOLU TEE %AND REP 11 .SENTATNES. <br />THIS INSURANCE SHALL 3 s PRIMARY AND NON-CONTRIBUTORY. <br />IN no envy appears above, it wir"m required to complete this ender amen will be ahem in Aw Dedaiadons <br />as applic" to Ads endora a lent) <br />WHO IS AN INSURED (Set w n If) is amended w include as an insured " parson or orwizadw shown in the <br />Schedule as an Insured but o iy wqh respect 10 kbft ansinp out of your oper4ons or premeass owned by or <br />rented to you. <br />CO 20 28 11 as :opyriOhL Insurance Semoos OMICe, Inc.,1984 Pape 1 of I <br />r... MOWED AS TO FORM <br />' aura S edy <br />`:oputy City Atto ey <br />