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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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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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04/11/2013 11:18 949- 559 -5704 THE UPS STORE PAGE 01/01 <br />PI- ASS -A14 (p4104) <br />gala 1I" - R89MS T aMA_ K —T&FF .P. ICCY ip S,�a >c R�,n nr CA UL.v <br />ADDITIONAL INSURED, oWNCRS AND / OR LESSORS OF PREMISES, <br />LESSORS OF LEASE PROMO S, SPONSORS OUR CO- <br />Phis CO EROAL OFNERAt LWGILITY CUVERAGE PAR <br />This policy is amended to include as an additional insured any parson or organiiatlan Of dre types <br />designated beloW, but only we respect to liability adsbrg out of your operanona: <br />1, owners and / or lessors of the pramis®s leased, ranted, or loaned to your subject to the folWng <br />additional axduslons: <br />a This Inaurarm applies only to an "ooairFOrOe which !atlas *00 whits you are a tenant In the <br />premises; <br />b, This insurance does not apply to'bodRy injury" or "proparty damage" resulting from sWxWrd <br />alterations, new construction or deradWon operations performed by or on behalf of the owner and <br />cr leaacrr of the premises: <br />o. Thle Irolrance doss not appy ha liability of the owners and t or lessors for "bodily Injury" Or <br />"property damage" arising out of any dastgn dsfact or structural maintenance Of IN Prcmiseb or <br />loss caused by a premiasa duct. <br />With rospeat to any additional km4ed Inek" under tilts pof[cy, this insumnoe dgas not apply to rite <br />cola hagiigmw* of suoh apalgonai insured. <br />2. Lesaw of Leseod Equipmenk but only with respect#o gabDNy For "iwdliy Injury", "proPertY damage" or <br />°personal and ad%mrrong injury" caused, in whole ar In psrt, by YOM melntens , aParatbn or use of <br />equipment leased to you by such peraon(o) or org ewoon(s) subject to the follow rig additlotral <br />exoluslons: <br />a. ThFsinawwoe does not spPlY t° �'Pu°a"' "OBy wh ch,iakss pta( Erne"he equipntentlease <br />expires. <br />s. sponsors <br />4. Ca Promotar5 <br />Pup 1 of 1 <br />APPROVED AS TO F°ORIA <br />— LISA E. STORCK <br />Assistant Cit Attorney <br />Is- <br />
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