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SKIDMORE, CHERYL - 2004
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SKIDMORE, CHERYL - 2004
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Last modified
1/3/2012 2:08:35 PM
Creation date
6/7/2004 4:02:17 PM
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Template:
Contracts
Company Name
Cheryl Skidmore
Contract #
N-2004-059
Agency
Parks, Recreation, & Community Services
Expiration Date
2/6/2004
Insurance Exp Date
8/31/2008
Destruction Year
2009
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<br />~q/~3/~~~3 10:01 <br /> <br />913 498-B212 <br /> <br />SNYDER INS <br /> <br />PAGE B3 <br />'--..../" <br /> <br />ADDITIoNAL INSURED ENDORSEMENT <br />FOR COMMF.RClAL GENERAL LIABILITY POLICY <br /> <br />InaU1'lllce Company <br /> <br />Northland Insurance Company <br /> <br />Thi. endol'$ClJ1ent niodifilllllUch insurance as is afforded by the provisions of Policy <br /># RP 1 04864 Jelallng to the followinll: <br /> <br />L The City ofS..ua Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, .acolll, volunteers and represClltatives are ll8lIled as additional insureds <br />("additional insureds") .....ith regard to liability and defense of suits arising from the operations <br />and 115e3 perf~ by or on bcbaJf of the nansed insured. <br /> <br />2. With I'C8pCCt to claims wising out of the opqations and uses perfonned by or on <br />behalf of the n~ it)tWed, such illSUl"ance as is afforded by this policy is primary and is not <br />additional to or contributm, with any olller insurance carried by or for the benefit of the <br />additional insureds. <br /> <br />3. This iosurlllce applies separately to each insured again'l whom claim is made (If <br />suit is brought except with reepect 10 the company's limits oftiability. The inclusion of arlY <br />person or oraanization lIS an insured shall nollltrecl any righl which such person or organization <br />would have lIS . claimant If not 80 iDcluded. <br /> <br />4. With ~ to the additional inalU"eds, this insurance shall not be cancelled, Or <br />materially reduced in coverage or limits except after thirty (30) days writlen notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br /> <br />(Completion oftbe fOllowing, including COuntersignature, is required to make this endorsement <br />effective.) <br /> <br />Effective <br />Policy # <br />ISSued 10 <br /> <br />04/23/03 <br />RPI04864 <br />I<ids-Can-oo G <br /> <br />, this endorsemenl form as a part 0 f <br /> <br />" <br />astiC5, Inc ; <br /> <br /> <br />----- <br /> <br />Snyder IlISIIrance Sernc:et Inc. <br />~E.O~~ 81wd. Sit. t2$ <br />-"'- KSHZII <br /> <br />APPROVED AS TO FORM <br />~ n--d...., <br /> <br />L~ura Sheedy ( <br />Deputy City Attorney <br />
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