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CAMBODIAN FAMILY, THE 5A-2005
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CAMBODIAN FAMILY, THE 5A-2005
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Last modified
1/3/2012 3:07:49 PM
Creation date
1/9/2006 2:58:09 PM
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Contracts
Company Name
Cambodian Family, The
Contract #
A-2004-203-01
Agency
Community Development
Expiration Date
6/30/2006
Insurance Exp Date
3/9/2007
Destruction Year
2011
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<br />. <br /> <br />AoomONALINSURED ENDORSEMENT <br /> <br />Insurance Company ,_'pHILADELPHIAl~!DEMNITY INSURANCE COMPANY <br /> <br />This at'ldorsemel'lt modlfies such insurance as IS afforded by the provisions of Policy <br />#PH P f( 1 ~ " j " . ralalit'lg to me folloWing: ' <br /> <br />1 ' The Cily of Santa Ana. 20 CMc: Center Plaza. Santa Ana, Catlfomla 92701; <br />its officers. employees. agents and repre~es are named as additional Insureds <br />radditJonal insureds.) with reg<;rd to liabUity and defense of sUits arising from the <br />o!'€r;ljjons and,uses petfooned bv 01 on beha~ 01 the named insured <br /> <br />2 .. Wrthrespect to ~msarislng out 01 theoperatiillns and QsesperfO(l'rted by <br />or onbetlll\fQf~ flaI'tled insUled,such insuranCElas 15 afforqsr;j by-this poliCy is p(ilnary <br />at'ldlshot addllioneJ to .oroontributirlg witheny other insUfa.t'lC(il ~by oder \l1e <br />benefit oHlle addltfQrlalinsured$ Except in the c/!$e of sole negligence or willful <br />misconduct. . <br />3,. 1b!slOsuranceappfies separately to e~ii1$t1rt!dagajnst whom. claim .is <br />madaor $lJitiSl:lr()light~t wllh resp~cl to the CQll1pany'slftrjitsofliabflity . The <br />inclustonof fSny~or or9S"li<:alionas an Insured shaU nota.ffe<:t arlY rightwt\ieh such <br />person oror~n would h<we as a claimarnif not so included. <br /> <br />4.. Wl!tt(~to the ad~inllure:ls, thjsinsU~$halJ not be CaocellaO. <br />or lTI~redUC<<lincoverage olnmits.~afterthirty (8O}dayswri!ten fl()~ nas <br />beengi1lent<:>U1e..C1ty' \1fSanta )\ria, 20 eMs Clll'lt$rPI9Ul,$antciAn6..Califomia. 92701,. <br /> <br />(Compl.etion of W~ (ollowIng, lnclUQlng countersIgnatUre, jS required to make tills <br />endorsement ~ectllre.)' <br /> <br />EffecllvQ ,__.03(U2J06 <br /> <br />,thiselldorsemef\tfoJ'tn as sparta! <br /> <br />~......._-~.~_....._._---_. <br /> <br />Policy 1/ <br /> <br />PHPK155246 <br /> <br />---------. <br /> <br />Issued to _THE CAj>1BODIAN :l<'AMILY_.~" '. <br />Named Insured . ~ ~ <br /> <br />CountersIgned by _.. .. .... .... " .. <br /> <br />,~ <br /> <br />.---.-' <br /> <br />f5;~ 1'/2- <br /> <br />EXIHP.1T 0 <br />
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