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ACOSTA ASSOCIATES 3 - 2007
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ACOSTA ASSOCIATES 3 - 2007
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Entry Properties
Last modified
5/28/2015 10:26:13 AM
Creation date
6/10/2007 9:47:39 AM
Metadata
Fields
Template:
Contracts
Company Name
ACOSTA ASSOCIATES
Contract #
N-2007-060
Agency
Parks, Recreation, & Community Services
Expiration Date
1/31/2008
Insurance Exp Date
2/11/2008
Destruction Year
2013
Notes
See Workers' Compensation Declaration form signed by Robert A. Acosta
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ATTACHMENT «B» <br />SAMPLE ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company <br />This endorsement modifies such insane as is afforded by the provisions of Policy # <br />relating to the following: <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />employees, agents and rives are named as additional insureds Cadditmnal <br />insureds") with regard to liability and defense of suits arising from the operations and tea's <br />performed by or on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by or on behalf of <br />the pame insured, such insurance_ as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. ' <br />3. This insurance applies separately to each insured against whom claim is made or suit is <br />brought except with respect to the cry's limits of liability. The inclusion of any <br />person or organisation as an insured shall not affect any right wbich such person or <br />organization would have as a claimant ifnot so included. <br />4_ With respect to the additional msu[ed�, this nisurance, shall not be cancelled, or mi*nadty <br />reduced m ooveaage or hunts except aftr thirty (30) days written notice has been gives b <br />the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701- <br />(Completion of the following, including countersignature, is required to make this cndorsement <br />effective.) <br />Effective <br />Policy# <br />rued to <br />the endorsement form as part of <br />18 <br />
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