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SIMON, LAURA 2 - 2012
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SIMON, LAURA 2 - 2012
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Last modified
7/7/2016 5:33:18 PM
Creation date
5/23/2012 2:00:34 PM
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Template:
Contracts
Company Name
SIMON, LAURA
Contract #
N-2012-053
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2013
Insurance Exp Date
3/24/2014
Destruction Year
2018
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POLICY NUMBER: 6BRPG00p0005142000 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A. Cancellation, 2.b. is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: Laura Lorraine Simon <br />Additional Insured: City of Santa Ana Recreation Supervisor, its officials, officers, directors, employees, agents and volunteers <br />1825 W. Civic Center <br />Santa Ana, CA 92703 <br />SRPG8016 APPROVE AS TO FORM <br />09/68 <br />LISA F� , STORCK <br />Assistant City Attorney Y <br />
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