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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
Metadata
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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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12/1/2008 <br />POLICY NUMBER: BA68191_639 <br />Johnson-Frank & Associates, Inc. <br />COMMERCIAL AUTO <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply <br />unless modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An <br />Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the <br />Coverage Form. <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): <br />City of Santa Ana, <br />Its Officers, Employees, and Representatives <br />Attn: Sherry Barkley <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to <br />the extent that person or organization qualifies as an "insured" under the Who Is An Insured <br />Provision contained in Section II of the Coverage Form. <br />Copyright Insurance Services Office. Inc., 1996 Page 1 01 <br />CA 20 48 02 99 <br />IERT ., 4125447 Betty Tian 12/1/2U09 11 41 It AM Page 4
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