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SIMON, LAURA 1 - 2010
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SIMON, LAURA 1 - 2010
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Last modified
7/7/2016 5:32:50 PM
Creation date
4/13/2010 11:19:48 AM
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Template:
Contracts
Company Name
SIMON, LAURA
Contract #
N-2010-032
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2010
Insurance Exp Date
12/16/2011
Destruction Year
2016
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EXHIBIT B <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company mcy�c I <br />This n orse nt modifiesi�ch insurance as is afforded by the provisions of Policy <br /># 16 reIating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional insureds <br />( "additional insureds ") with regard to liability and defense of suits arising from the operations <br />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 or on <br />behalf of the named insured, such insurance as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. <br />3. This insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. The inclusion of any <br />person or organization as an insured shall not affect any right which such person or organization <br />would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br />Effective IN ( 761" this endorsement form as apart of <br />Policy # <br />Issued to <br />Named Insured <br />,� [ M Countersigned by �2-(T rllvd <br />APPRUV� <br />Authorized Representative <br />Py `c = —F CHER <br />rC)RNEY <br />7 <br />
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