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MEXICAN AMERICAN OPP FOUND 4 - 2004
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MEXICAN AMERICAN OPP FOUND 4 - 2004
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Entry Properties
Last modified
1/3/2012 2:37:39 PM
Creation date
12/8/2004 11:48:57 AM
Metadata
Fields
Template:
Contracts
Company Name
Mexican American
Contract #
A-2004-175
Agency
Community Development
Council Approval Date
8/16/2004
Expiration Date
6/30/2007
Insurance Exp Date
1/30/2007
Destruction Year
2012
Notes
Amended by A-2006-324
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<br />ADDITIONAL INSURED ENDORSEMENT <br />FOR CO:MMERCIAL GENERAL LIABILITY POLICY <br /> <br />Insurance company-:V",^\Olck:\~W 0.. .T (\dcrY1~ t (6, Co . <br /> <br />;Thjs endorsement )podifies such insurance as is afforded by the provisions of Policy # <br />t' 1-\ t'IC 'FS1otf{vl relating to the following: <br /> <br />1. The Santa Ana Empowerment Corporation and the City of Santa Ana, 20 Civic <br />Center Plaza, P.O. Box 1988, Santa Ana California 92702; and their respective <br />officers, employees, agents, volunteers and representatives are named as <br />additional insureds ("additional insureds") with regard to liability and defense of <br />suits arising from the operations and uses performed by or on behalf of the named <br />insured. . <br /> <br />2. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other insurance carried <br />by or for the benefit of the additional insureds. <br /> <br />3. This insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. The <br />inclusion of any person or organization as an insured shall not affect any right <br />which such person or organization would have as a claimant if not so included. <br /> <br />4. With respect to the additional insureds, this insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the Santa Ana Empowerment Corporation, Inc. 20 Civic <br />Center Plaza (M-21), P.O. Box 1988, Santa Ana, California 92702. <br /> <br />(Completion of the following, including countersignature is required to make this <br />endorsement effective.) <br /> <br />Eff~ctiV~1 Ci.e>~ this endorsement form as a part of <br />Pohcy ~_. Un , t:::_ . ...1_ /, <br />Issued to Q h ( (2tXl(~ IWf\Uc.q-.OV\.J <br />Name Insured <br /> <br />1\5 '):0 fO':. <br />Io.'?"l:t\e\ftl"fl <br /> <br />sI0RC\<. <br />\.IS!>. "". !>.tt03e~ <br />t C\~ I)~ <br /> <br />''''(}ofI <br /> <br /> <br />~ <br /> <br /> <br />EXHIBIT H <br />
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