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CA HISPANIC COMISSION ALCOHOL 3
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CA HISPANIC COMISSION ALCOHOL 3
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Entry Properties
Last modified
10/15/2015 11:16:56 AM
Creation date
3/28/2005 3:22:27 PM
Metadata
Fields
Template:
Contracts
Company Name
California Hispanic Commission on Alcohol & Drug Abuse
Contract #
A-2004-087-21
Agency
Community Development
Council Approval Date
5/3/2004
Expiration Date
6/30/2005
Insurance Exp Date
11/18/2005
Destruction Year
2010
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A 31,q- 13-'04 12.38 FROM- ALL -CAL INSURANCE 9167840158 T -358 P003 /007 F -682 <br />ADDITIONAL INSURED INDORSEMENT <br />r <br />Insurance CompanyQ.�.�.�a -- •.fit= <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># aOCIA- 23o'�p relating to the followir 61: <br />1. The City of Santa Ana, 20 Civi�: Center Plaza, Santa Ana, California <br />92702; its officers, employees, agents and vol4;i-ieers are named as additional insureds <br />("addit <br />ationsland uses performed by or on behalf liability Suits arising from the and defense of <br />beh l - f he named insu red, <br />2. With respect to claims arising out f the operations and uses performed by <br />or on 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 by or for <br />the benefit of the additional insureds. <br />3. This insurance applies separate(', to each insured against whom claim is <br />made or suit Is brought except with respect tc the company's limits of liability. The <br />inclusion of any person or organization as an insured shall not affect any right which <br />such person or organization would have as a clsimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be <br />canceled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa t.na, 20 Civic Center Plaza, Santa Ana, <br />California 92702. <br />(Completion of the following, including cour.tersignatue, is required to make this <br />endorsement effective.) <br />Effective = <br />Policy # 0 <br />Issued to <br />11V � G�tM <br />A <br />P <br />i <br />l <br />PT:r'TM717r) 1?-12-'M 12'C;9 17pnm- 41f,442M?9 <br />this endorsement form as apart of <br />ey <br />thorized presentative <br />Tn- AT t -r-11 TNSTIRAD1r.7 PAR? IRV114 <br />
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