Laserfiche WebLink
CG 20101165 <br />DATE: NOV 27 07 <br />POLICY NUMBER: PHPK215316 <br />INSURED NAME: <br />BODY BY SOOTCAMP <br />W12 COLONY GROVE LANE <br />VILLA PARK CA 92961 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - OWNERS, LESSEE$ OR CONTRACTORS (FORM B) <br />This endorsement modifies insurance urovidee :,raiser the foliowim, <br />COMMERCIAL GENERAL. LIAelt_I7YCQ',A:R.,jGE PART <br />,ri�",t�CX'Ui_.F <br />Name of Person or Orgravzatiur„ City of Santa Ana, tts olflctrs, agan-s, employees, <br />representatives, and voluntsdre <br />20 Civic Cantor Masa <br />Santa Ana, CA 92701 <br />JobiPm*t: <br />(If no entry appears above, Information mquired to cowpit iH i;ne trndursement'wail be shown in the Declar*Wns as <br />applicable to this endomernent.l <br />WHO IS AN INSURED (Section 11; it, amended to inclodn is an insureO'tin person or organization shown in the <br />Schedule, but only with respect to liability arsing out J "your worst' for that inwxed by or fer you. <br />Primary Insurance it is agreed that such insurance age afforiad by ttas poiiC) for dw benefit of the addttbnal insured <br />shown shall be primary insurance. and any rather Iris, ranci-i u winiained by the additional IrWred(s) small be excels <br />and non- contributory, but only as respocts any clairn, :oss or liability srisinq cia of the operations or the named <br />Insured(s) or It3 subcontractors, arx; a;Ny it such _.iaim.'cs's or liability is detemiir+ed to" solety the m9ligence or <br />responsibility of the named insurea. <br />Notice of vanceliation or Non- renowel It is ayneea Mat the comp�mvy wil u.rovide Vie additional insured shown below <br />with 30 days notice of cancellafio.7 i 'his itt ttt$ P. t" .' L'" ` i,,e tc -omr any election only, <br />WAIVER OF SLIBROGATION <br />It is agreed that we waive any right a' recovery we may have against the person or o►ganitstfon <br />shown in the scheouis because of rayrnent we make for injury or damage arising out of "yourwov <br />done under a contract with that persor or o +,.;anirawn,, The waiver applies only to the person v <br />organization stuswr :v the ;ched.s+ <br />