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CUMMINS CAL PAFICIC 2-2004
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CUMMINS CAL PAFICIC 2-2004
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Last modified
1/3/2012 3:14:45 PM
Creation date
3/28/2005 7:32:16 AM
Metadata
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Template:
Contracts
Company Name
Cummins CAL PACIFIC, Inc.
Contract #
N-2004-153
Agency
Community Development
Expiration Date
10/31/2005
Insurance Exp Date
3/1/2006
Destruction Year
2010
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<br />. . <br />THIS SHEET MUST BE COMPLETED AND ACCOMPANY. <br />THE CERTIFICATE OF INsURANCE . <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance company. <br /> <br />'Jnri9R 1Ht¡çrig. IR~y.ra'RgQ Cs. <br /> <br />. . <br />This endorsement modifies liuch Insurance as Is afforded by the provisions of <br />Policy No. C:T./"\"'!7"'!10:noo relating to \he following: <br /> <br />1. <br /> <br />The City of Santa Ana. 20 Civic Center Plaza, Santa Ana, California 9.2701, lis. . <br />officers, empjoyeÐS, agents, and representatives are named as addItional.. . <br />Insureds ("additionallneur8da") with regard to liability and defense 01 8u1t8 arising <br />from the operations and uses performed by or on behalf of the named Insùrèd. <br /> <br />With respeCt to claIms. arì8ing out Of the operations and uses performed by or on <br />behalf of the named Insured. Buoh In8urance as \8 afforded by thIs policy Is <br />prlmaty and is not additional to or contributing with any other Insurance carried <br />by or for the benefit of the additional Insureds. . .. . <br /> <br />2. <br /> <br />'. <br /> <br />3. <br /> <br />This Insurànce applies separately to each Ineured against whom claim Is made or <br />suit is brought except wllh reapeet to the company's IImI1s of liability. The. <br />InclusIon 01 any person or organ11atlon 88 an insured shall not aftect any rIght <br />which such person or organization would have 8S a claimant If. not 80 l~clUded.. <br /> <br />With respeot to the additional Insureds, this Insurance &hall not be cancelled or . <br />materia II)' reduced In covlt8Qtl Ot 11m lIB except after thirty (;Sq) days written notice <br />has been gillen to the City of Santa Ana, 20 Clvlo Center Plaza. Santa Ana, <br />California 92701. . . <br /> <br />4. <br /> <br />'. <br /> <br />(Completion 01 I he following, inéludlng countersignature, is required to make this. <br />endorsement effective.) . . . <br /> <br />Effective -..l"n""T'Y 11. 200". <br /> <br />I this endorsement form Is a part of <br /> <br />Policy No. <br /> <br />t:r.f"'I-:t7":t1 n"',:,n <br /> <br />. <br /> <br />. lSQuad to <br /> <br />"'1H"m';~i:' Ciill Pagifis, I..LC <br />Named Insured <br /> <br />8'd <br /> <br />.: <br /> <br /> <br />Countersigned by <br /> <br />~:1'I,1sc::Ct,,¡r\Cult or ¡f\.U~l\ce ~i,iønftl elldon.ùl1'1tru <br /> <br />APPROVED AS TO FORM <br /> <br />. .~¿/L <br />"'Las. <br />. ura tltt Sheedy <br />ASSIstant City Attornet:il", t t.l <br /> <br />"'88'60 SO O~ uer <br />
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