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JOHNSON FRANK & ASSOCIATES INC. 6 - 2008
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JOHNSON FRANK & ASSOCIATES INC. 6 - 2008
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Last modified
1/3/2012 2:52:11 PM
Creation date
5/22/2008 12:59:48 PM
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Template:
Contracts
Company Name
JOHNSON FRANK & ASSOCIATES INC.
Contract #
A-2008-086
Agency
PUBLIC WORKS
Council Approval Date
5/5/2008
Insurance Exp Date
12/1/2010
Destruction Year
0
Notes
workers' comp iins exp. 1-01-2010
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />6MMOV°I"ank & Associates, Inc. Endoreament Number <br />Policy Symbol Policy Number Policy Perlw Effective <br />EONNO0950567004 12/1/2007 to 12/1/2008 4/23/2008 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Notice of Termination Endorsement <br />It is agreed that Section IX, Notice, is amended by adding the following to subsection C: <br />Notwithstanding anything in the forgoing to the contrary, notices to the Insureds of termination <br />under this Policy shall be addressed to the following: <br />Cit of Santa Ana, <br />Its ?fficers, Employees, Agents, Volunteers <br />and Representatives <br />Attn.: David Ip <br />PO Box 1988 <br />Santa Ana CA 92702 <br />All other terms and conditions of this Policy remain unchanged. <br />Authorized Representative <br />vov' <br />? zo <br />Yg0 <br />p,4 RcK <br />E• g'tOP,00ne`J <br />oss's<a? ?? <br />Of <br />PF-14533 (03/03) 0 ACE USA, 2003 Page 1 of 1
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