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St. Clare, Elisabeth 1a
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St. Clare, Elisabeth 1a
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Entry Properties
Last modified
5/28/2015 9:49:08 AM
Creation date
3/28/2005 10:18:24 AM
Metadata
Fields
Template:
Contracts
Company Name
Elizabeth St. Clare
Contract #
N-2004-050-01
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2005
Insurance Exp Date
1/25/2006
Destruction Year
2010
Notes
Amends N-2004-050 Amended by N-2004-050-02
Document Relationships
ST. CLARE ELISABETH 1B
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
St. Clare, Elisabeth 1
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
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<br />. <br /> <br />II <br /> <br />ADDITIONAL INSURED <br /> <br />II <br /> <br />Policyholder: Sports and Recreation Providers Association Risk Management, Inc. <br />Tustin Martial Arts <br /> <br />Insurance Company: American Alternative Insurance Corporation <br /> <br />Policy Number: 76A2GLOOOOOOI-00/76A2GLI003477-00 <br /> <br />Effective Date: 1/25/05 at 12:01 AM Standard Time at the address of the Policyholder <br /> <br />This Endorsement changes the policy. Please read it carefully. <br /> <br />WHO IS AN INSURED (Section III) is amended to include as an insured the person or <br />organization listed below as an insured but only with respect to liability arising out of your <br />operations or premises owned or rented to you. <br /> <br />Name of Person or Organization: <br /> <br />CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY - M23 <br />888 WEST SANTA ANA BLVD., 2ND FLOOR <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />APPROVED AS TO F01~JVj <br /> <br />~5 C;/c;- <br />Laura Stitt Sheedy <br />\ ,;sistant City AttOfll(;\ <br /> <br />PLEASE ATTACH THIS ENDORSEMENT TO YOUR POLICY. <br /> <br /> <br />In every other way, the policy remains as is. <br /> <br />Dale Issued; 3122/05 <br />
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