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COMMUNITY SENIORSERV (2)
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COMMUNITY SENIORSERV (2)
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Entry Properties
Last modified
12/1/2015 4:26:20 PM
Creation date
12/8/2009 10:25:42 AM
Metadata
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Template:
Contracts
Company Name
COMMUNITY SENIORSERV
Contract #
A-2009-041-015
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/20/2009
Expiration Date
6/30/2010
Insurance Exp Date
7/1/2010
Destruction Year
2015
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POLICY NUMBER:: repa <br />34049 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - CONTROLLING INTEREST <br />ThIS 14""O'ent mWA" Insurance pmww under the touowfng: <br />COMMERCIAL GENERA!, LIMUW COVERAGE PART. <br />Name of Person or Organization: SCHEDULE <br />The City of Santa Ana, its Officers, <br />Offivais, EmPloyess, Agents Volunteers <br />s no a b # armlar it a tion required to complete this andorssment will be shown h the Declarations <br />I- WHO IS AN INSUREb (Section 11) is amended to a. Their flnanc W control of <br />holude as an kwaid #a s) or organize. you; or <br />1101(8) shown In the but oNy wph re - <br />of. <br />Pre nk" 016Y own, makrtain or control whW <br />sPect to #I*pabllty ariskig out of. You Iwo or occupy these premkes, <br />2. This Irmiance does not alp* to structwel altara- <br />t10ne, now const m1lon e <br />performed by or for that person or organization. <br />��gpV <br />A, zo Too <br />5'� ORGK <br />osP E �tty Nttorne Y <br />PSS�Start <br />CG 20 05 11BS CoPyrlght, Insurance Services Office, Inc., 19" <br />Page 1 of 1 t,t <br />
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