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Entry Properties
Last modified
3/31/2015 2:46:56 PM
Creation date
11/16/2004 4:09:40 PM
Metadata
Fields
Template:
Contracts
Company Name
Parsons
Contract #
N-2004-099
Agency
Public Works
Expiration Date
6/30/2005
Insurance Exp Date
1/1/2005
Destruction Year
2010
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<br />~ <br /> <br />POLICY NUM BER: GL933 2979PTG <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULl.Y. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />Name of Person or Organization: <br /> <br />PTRANSGRP/003/10295 <br /> <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives. <br /> <br />Re: Alton Value Analysis Study <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in <br />the Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work" for that <br />insured by or for you. <br /> <br />~ <br /> <br />08/31/2004 <br /> <br />Authorized Representative <br /> <br />Date <br /> <br />Carrier: <br /> <br />National Union Fire Insurance Co. of Pittsburg <br />Parsons Transportation Group, Inc. <br />GL933 2979PTG <br /> <br />Named Insured: <br />Policy No.: <br /> <br />Policy Term: <br /> <br />01/01/2004 to 01/01/2005 <br /> <br />CA" j /' <br />/~--~l^'-.f~j);(<, ,s! 3 <br />/ <br /> <br />CG 20 10 11 85 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br />
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