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CAMBODIAN FAMILY, THE 8 - 2002
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CAMBODIAN FAMILY, THE 8 - 2002
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Last modified
1/3/2012 3:07:55 PM
Creation date
4/13/2006 3:03:47 PM
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Contracts
Company Name
Cambodian Family, The
Contract #
A-2002-105-07
Agency
Community Development
Expiration Date
6/30/2003
Insurance Exp Date
3/9/2003
Destruction Year
2011
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<br />'-' <br />ADDITIONAL INSURED ENOORSEMENT <br />FOR COMMERCIAL GENEjU.L LIABILITY POLICY <br /> <br />'-' <br /> <br />Insurance Company ... PHI.~ADELPHIA INDEMNITY INSURANCE CO. <br /> <br />This endorsement modifies such illsumnce ns is aftbrded hy the provisions 01' Policy <br /># PHPJ(()?Oqq, reJilting lo the fOllowinG: <br /> <br />1. The City of Santa Anli, 20 Civic Center PIt\Zll. S",nta Ana. ClIlifomill92701; its <br />officers, employees, agents, voJunteel"tl And repr:e3entAt;ve. lire "Amed aa tlclditlonal jI\!ltlTeds <br />("additional insureds") with regud to liability end deCeaso oCsuits arising from tbe operations <br />and uses perfomled by or on bchalf of the named Insured. <br /> <br />2. With n;,pccl to ellUms arising out oftbll opel'BiioW! and uses performed by or on <br />behalfllfthe nllmed iMured, sueh insurance as is afforded by this polley is primary end is not <br />additional to or eon.tribuling with any other insurllnce carried by or foc the benefit tlf the <br />additional insureds. <br /> <br />3. This insumncc l'lpplics separately to eAch insured against whom cliUm is made oc <br />suit is brought except with re:<pect to the company's limits of liability. The Inclusion of lIny <br />person or organizatioD lU an insured shall nOI affect any right which such per1Sl>n or orgMization <br />would havllll., u elairtllmt ifnot so in<:lud<:d. <br /> <br />4. With re~pect ttl the lldditional insureds, this insurlUlcc shall ntlt be caneelllld, 01' <br />materially reduced in coverage or limits eltccpt after thirty (30) dllys wnttCII I10tiee ha., been <br />given to the City of SWltll Allll, 20 Civic Center Plua, Santa Ana, California 9270 I. <br /> <br />(Completion of the following., including eountersignal\lrO, is roquirctl to make this endorsement <br />effective.) <br /> <br />Rffcc\ive <br />Policy # <br />Tssued to <br /> <br />03/09/02 <br />PHPK020993 <br />THE CAMBODIAN <br /> <br />. this endorsement form as a part of <br /> <br />FAMILY. INC. <br />Named Insurc:d ;11 ~#'-<---' M ~1-L- <br /> <br />MIKE V. MARTIN <br />Countersigned by PACIFIC GENERAL INSURANCE SERVICES <br />Authorized RepN~enl'd.tive <br /> <br /> <br />Aj lU j.ORM <br /> <br />L Sheedy <br />Deputy City Attorney <br /> <br />'. <br />
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