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SHARE OUR SELVES 5 - 2006
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SHARE OUR SELVES 5 - 2006
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Last modified
1/3/2012 2:07:27 PM
Creation date
8/15/2006 10:29:37 AM
Metadata
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Template:
Contracts
Company Name
SHARE OUR SELVES - FREE MED/DEN CLINIC
Contract #
A-2006-092-040
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/17/2006
Expiration Date
6/30/2007
Insurance Exp Date
1/26/2007
Destruction Year
2012
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POLICY NUMBER: X-660-830X4850-TIL-06 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: 01 -25-06 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CHARITY FIRST-AMENDMENT OF COVERAGE- <br />WHO IS AN INSURED <br />o= <br />~~ <br />lion, In consideration for funding or financial <br />contributions you receNe from them; <br />3. The ownership, maintenance or use of that <br />part of a premises leased to you; or <br />4. "Your work'forthatinsured by orforyou. <br />As respects Part C.3. above, this Insurance does <br />not apply to: <br />(a) Structural alterations, new constructicn <br />or demolition operations performed by <br />or on behalf of the person(s) or organiza- <br />tion(s); or <br />(b) Any "occurrence" which takes place after <br />you cease to be a tenant in that <br />premises. <br />A `b y f~ / . /. ... _ ._. . <br />3~~.___ .__. <br />~,~~~:~1,~ ,,~ F ~.~ <br />GN 01 88 01 98 Copyright, Travelers Indemnity Company. <br />019881 <br />This endorsement mod'rfies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Person Or Organization (Additional Insured): <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25, ATTN: FRANK HERNANDEZ <br />20 CIVIC CENTER DRVIE <br />SANTA ANA CA 92701 <br />Designation Of Premises (Part Leased to You) <br />WHO IS AN INSURED (Section II) is amended to <br />Indude as an insured: <br />A. Your members and volunteers but only with <br />respect to their (lability for your actNhies or ac- <br />tNitiesthey perform on your behalf; <br />B. Your trustees or members of the board of gover- <br />nors while acting within the scope of their duties <br />as such on your behalf; and <br />C. Person(s) or organization(s), whether or not <br />shown in the Schedule above, but only with <br />respect to their liability arising out of: <br />1. Their financial control over you; <br />2. Their requirements for certain performance <br />placed upon you, as a non-profft organiza- <br />Page t of 1 <br />
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