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GRUVER, ERIC 3A - 2002
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GRUVER, ERIC 3A - 2002
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Last modified
1/3/2012 2:54:46 PM
Creation date
4/17/2006 10:15:15 AM
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Template:
Contracts
Company Name
Gruver, Eric
Contract #
A-2002-143
Agency
Police
Insurance Exp Date
3/1/2004
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<br />NOV-,15-2001 13: 03 FROM: ERIC W r,c'IVERPH 0 7145444996 <br />.~ Se,!;! 6y,. DAVIS lNSUHANC~j "-' ~4~ 0." UIU:r <br /> <br />TO'714 647 6515 <br />J t..",.. '''' ,"~~' ..., <br />.I '" . <br /> <br />P.002/002 <br /> <br />. --oJ <br /> <br />111~"ia" <br /> <br />NFM Nnd <br />Add... . <br /> <br />~ f'llIiCY Nl,nIIler <br /> <br />" 15 120 U~ .1 17 <br />d the CamllMY <br />dl!&igrGlltdln 111& <br />OIclerallollS <br /> <br />~and . <br />~ 171Z2 Iu.: iT",",' . IT! ..,5 'nISTlN CA 92'''' <br />\lilIllI-- --.... . . <br />El!tCM DD I-Ir of LiN ClI Lilbilly " <br /> <br />1.I>>IMI.GGa <br /> <br />tlIG!1~nce <br /> <br />. , <br /> <br />ADDlnOHAL INSURED ENtlORSEMENT <br />(SPEcw.. SENTlNILl . <br /> <br />I,. Clllllidellllon ot 1I1e premUn we agIllIl MIl yOU to \he follOWIng: <br /> <br />- ~ <br />,. TI1e il'lSlJf8/1Ce pmvIded II)' l/1isllollc:yfor IloIIlIv ....., ilIlllily end ~ 1IliIMg. WIlY uncflr ClMIlge <br />t)-i\l"" uablllly inIU,1IraI shall aleo apply 10 1M IlClClitIDnII itllRJf8di>omaa belOW, but only w\1h rteped <br />to .. _rrt!liOt arllilg OIA Ollh. oWllalllhip,'mlimenanc. or uae iii m. pilr1. !II tile Inlll..... IIlc8IIoII <br />occupied by you, . <br /> <br />~ Thill ifllll.lrance (lOa noI APllIr to; <br />(a) Ally ClCQI_& wt\I(;h tikII plad' .r \'OIl __ 10 IICOUPV a1t IftRNII 10011I0Il. <br />lb) Any III\Ic:Wfe,I &llendlMl. II8W CO/lIINCIian 0' ~Ion opcmtio~ r;leIIOnMC by or lor I\IIY altdltional <br />InIUrllO named bIIIllW. ' <br /> <br />i. 'n,uldio'lIIlnlured 9haII nal btcorllllUed or dMm8lI to bill UllIlIl*1O the ComJl.lllly issuing tlilOOIicY, <br />4. The adddlll1lli il'llllrlCllhal nClt be Qr bIeom& ~ tor IIIV 1lf8IT'lu'" Plvmenlt 0J8 upon lhia pOliCy. <br /> <br />IS. n lhiII ~ Is \en'l'll~MIId lor any "lIOII .... ....11 !JlIe <br />in wrllil'iO "" lh. IlddilianaJ Il>IUlacl namod tleIow. <br /> <br />If' <br /> <br />daY' ~ <br /> <br />TIlIImd......,llri ill p.n 01 \'OIl' poli;)'. ~ 11\1,.-. &Nl ClllltraIB ~ng III UIII CClI1Ir8IY. 1111 alhelwlllB <br />!N~ II> allIIh&r lI!rma of me policy. i <br /> <br />Adoibvll . city t}ffI I0Il<<' .. <br />Itllured . 20\ I;IVII; C6Nt'O DII <br />. SAHtA 1M c:A It7DI <br /> <br />~ TO FOBM <br />. I E LEE<;t~ . <br />~Uty City Attorney <br /> <br />CW~V~'.! ~1i2~- <br />- <br /> <br />.....116 ......~ iJoll <br />
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