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O.C. BAR FOUNDATION 4
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O.C. BAR FOUNDATION 4
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Entry Properties
Last modified
8/23/2021 2:35:12 PM
Creation date
8/25/2005 2:27:23 PM
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Template:
Contracts
Company Name
O.C. Bar Foundation 4
Contract #
A-2005-078-028
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
3/15/2006
Destruction Year
2011
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POLICY NUMBER PPS 34632555 COMMERCIAL GENERAL LIABILITY <br />Orange County Bar Foundation CG 20 2611 85 <br />313 N. Birch Street 4/12/2005 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />The City of Santa Ana <br />Santa Ana Community Development <br />Aggency <br />Aftention: Carla Thompkins <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by <br />or rented to you. <br />APPROVED AS TO FORM <br />�,4 <br />Laura Stitt $heedy <br />Assistant City Attorney <br />CG 20 26 11 85 <br />
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