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DMJM / HARRIS 1C -2004
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DMJM / HARRIS 1C -2004
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Last modified
1/3/2012 3:04:54 PM
Creation date
1/24/2005 11:22:09 AM
Metadata
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Template:
Contracts
Company Name
DMJM / Harris, dba Holmes & Narver, Inc.
Contract #
A-2004-252
Agency
Public Works
Council Approval Date
11/15/2004
Insurance Exp Date
4/1/2005
Notes
Amends A-2001-170A
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0i6/14/200? 15:031 2129864713 <br />POLICY NUMBER: ISA H07850451 <br />LEGAL DEPT <br />PAGE 04/05 <br />COMMERCIAL BUSINESS AUTO LIAR. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL BUSINESS AUTO LIABILITY COVERAGE PART. <br />I? <br />i <br />Name of Person or organization: Schedule <br />THE CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES, VOLUNTEERS AND <br />REPRESENATIVES <br />._J <br />(If no entry appears above, information required to complete this endorsement will be <br />shown In the Declarations as applicable to this endorsement) <br />WHO IS AN•INSURED (Section II) is amended to include as an insured the person or <br />organizationshown in the Schedule as an insured but only with respect to liability <br />arisirgi out of your operations or premises owned by or rented to you. <br />0 c h i -t <br />.a3?PI=0Vr'.t? ?. <br />-/ <br />CG 20 26 11 85 <br /> <br />CG 2610 1100 DWM-KkAM&O=
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