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CAMBODIAN FAMILY, THE 5 - 2004
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CAMBODIAN FAMILY, THE 5 - 2004
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Last modified
1/3/2012 3:07:49 PM
Creation date
12/30/2004 2:25:20 PM
Metadata
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Template:
Contracts
Company Name
Cambodian Family Inc.
Contract #
A-2004-203
Agency
Community Development
Council Approval Date
10/4/2004
Expiration Date
9/30/2005
Insurance Exp Date
3/9/2006
Destruction Year
2010
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<br />APR-29-2005 11:07 <br />. <br /> <br />THE C0~BODIAN FAMILY <br /> <br />714 571 1974 F' .04.-/[14 <br /> <br />. <br /> <br />ADDnlONAL INSURED ENDORSEMENT <br /> <br />IRlIu..ao..... Compan, <br /> <br />P/!I1AIl!:LPIII :oonm1Y IN5t.1RA1a (Xl. <br /> <br />.. <br /> <br />ThI8 endorsement madIieI cuch nUl'<nl8 as .. afforded by ltIa pravIsIcnI at Policy <br /># PHPKl1 cv.i.. ~ __ Ill' '\ lQ 10 the ratow'o1g: . <br /> <br />t. 1M cay of .... AnI. :OlO CI\Ac QtntlIr PIaD, SIIr1lII AnII, CaIlJomla 82701; <br />ill cIIIceIs. ~ll" egents Ind l'Ipr r I ~.III are nemed IS eddIlIllllllllnIurIds <br />('aCJdIIIonIII ......, wIIh (IQ8I'd to RmlIIty end d8f.we of sUIs arfalg from 1he <br />operaIIa . and U$e$ perti:lcmed bY a on bthII of ltIe nI/1'I!d hsUted. <br /> <br />!L WIt! reepecc to clIImt IIfIInSI out d tile ope.cdbll WId UAS pet1bm'IId ~ <br />lll' aJ bIhIIr orb named DIAd, IUCh ~ as is Mbdlld by 1nIS poley 18 primary <br />8I'ld is not ....~ to Cll" c:anIrIluIIncl wIh IilP/ olha' Iranr108 ~ by 01' for f10 <br />benIIIt of the ..d:ilIb f' InwredI. <br /> <br />3. thIS II1IlnnC8 BAilS ~ to eec:h InIur8d agIIInIt wtlam c:IIim it <br />made or ..at Is Ilrought tll~ wilt ruplCl ~ Ihe ~. ImIII of 1IabIIy. 1118 <br />IncUIcn d WFf~ tII ~ I d. -, . en nur.d ... not 6cI WI)' rtght 1IIf1k:h8UCh <br />perscI'I 01' .......ih.ttL.i Wl:UI.... . ~lt. not so Indudlld. ' <br /> <br />4.. \WI '~1Df'8 tdlIIonIlIntreds. ttlIaNll1lasf1el nctbe~WlIIed, <br />01' n.... taIy r-dl1OIId ~ COlIldg8 or 1mb IDlllIIPt Iller tNrty CSO) d8ya ... 111M nolIoI h8s <br />bttn given to fie Qly ci Santa Me, 20 CMo Genter Pfeu, SIInIII Ma,.0a/iI0trie 92701, <br /> <br />(com,.aon of 1M fOIJoWIng, including counlerillgn.td&it., is required to mBlca this <br />,"dOPement~) <br /> <br />Efiecave 03/09/2005 <br />-". <br /> <br />Polley /I PHl'lG.l~3 <br /> <br />, this endorlement lonn as a part of <br /> <br />18CUGCI to <br /> <br />nlE CNlOODIAN FAMILY <br />Nm.d Insured <br /> <br />Co~/gned by <br /> <br />~ r---~~~ J/,Js' <br /> <br />APPROVED AS TO FOKM <br />~56 <br /> <br />EXHIBH D <br /> <br />Laura Stitt Sheedy' <br />Assistant City Attorn.;;'\ <br /> <br />TDTAL F'. 04 <br />
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