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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
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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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A SCOTTSDALE INSURANCE COMPANY <br />ENDORSEMENT <br />NO. <br />ATTACHED TO AND <br />FORMWG A PART OF <br />ENDORSEMENT EFFECTIVE DATE <br />NAMED INSURED <br />AGENT NO. <br />POLICY NUMBER <br />(12:01 AM. STANDARD TIME) <br />THOMAS HOUSE TEMPORARY SHELTER <br />CLS1099096 <br />07.11.2005 <br />03783B <br />THIS FORM AMENDS FORM CG2026 FOR THE CITY OF SANTA ANA AT: <br />P.O. BOX 1988, SANTA ANA, CA 92702 TO INCLUDE THE FOLLOWING WORDING: <br />It is further agreed that this insurance shall be named primary and non - contributory, but only in the <br />event of the Named Insured's sole negligence. <br />UTS-3g (3-92) <br />APPROvc�f,_) AS <br />i.aula Stitt Sceedy <br />Assistant Clly <br />AUTHORIZED REPRESENTATIVE <br />DATE <br />
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