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ORANGE COUNTY MENTAL HEALTH ASSOCIATES 1
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ORANGE COUNTY MENTAL HEALTH ASSOCIATES 1
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Last modified
8/23/2021 2:48:44 PM
Creation date
11/24/2004 2:10:17 PM
Metadata
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Template:
Contracts
Company Name
Mental Health Association
Contract #
A-2004-043
Agency
Community Development
Council Approval Date
3/15/2004
Expiration Date
6/30/2005
Insurance Exp Date
7/12/2006
Destruction Year
2010
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POLICY NUMBER: 2005-OB472-NPO <br />COMMERCIAL GENERAL LIABILITY <br />CG 20260704 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s) <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES <br />Information required to complete this Schedule, if not shown above, will be shown in the <br />Declarations. <br />Section II Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury, <br />"property damage" or "personal and advertising injury" caused, in whole or in part, by your acts <br />or omissions or the acts or omissions of those acting on your behalf: <br />A In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or rented to you. <br />NAMED INSURED: Mental Health Association of Orange County <br />POLICY NUMBER: 2005-08472-NPO <br />EXPIRATION DATE: 07/12/2006 <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 <br />1PPROVEL) AS F0 k 01 /1 <br />Laura Stitt Sheerly <br />r�„,stani lit,/ Attnrti <br />
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