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Thomas House 4
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Thomas House 4
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Last modified
10/20/2015 3:13:30 PM
Creation date
8/25/2005 2:17:35 PM
Metadata
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Template:
Contracts
Company Name
Thomas House Temp Shelter
Contract #
A-2005-078-043
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Destruction Year
2010
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POLICY NUMBER: CLS1099096 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modes insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Organization(s) <br />THE CITY OF SANTA ANA — CDBG M -26 COMMUNITY DEVELOPMENT AGENCY <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />Information required to complete this Schedule if not shown above will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to in- <br />clude as an additional insured the person(s) or or- <br />ganizations) shown in the Schedule, but only with <br />respect to liability for "bodily injury', "property dam- <br />age" or "personal and advertising injury' caused, in <br />whole or in part, by your acts or omissions or the acts <br />or omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 <br />0 ISO Properties, Inc., 2004 <br />AS TO FO,_,' "' <br />Sim uzcdy <br />Page 1 of 1 ❑ <br />
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