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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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May 22 07 10:55a North American Amusement p2 <br />ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company T.H.E. Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># M7MT2856 relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; <br />is officers, employees, agents and volunteers are named as additlonal insireds <br />( "additional insureds ") with regard to liability and defense of suits arising from the <br />operations and uses performed by or on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by <br />or on behalf of the named insured, such insurance as Is afforded by this policy is <br />primary and is not additional to or contributing with any other insurance carried by or <br />"or thn benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit Is brought except with respect to the company's limits of liability. The <br />:nolusiori of any person or organization as an Insured shall not affect any right which <br />c.: -persor w- organization would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be <br />canceled, or materially reduced in coverage or limits except after thirty (30) days <br />written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Sant9i Ana, <br />California 92701. <br />(Completion of the following, including countersignature is required to makes this <br />endorsement effective.) <br />Effective Ot1i25107 this endorsement form as a part of <br />Issued to_ Shamrock Shows <br />Named Insured <br />Countersigned by <br />Autifort z Representatl <br />i 0,Nl <br />-6 2- IL <br />
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