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OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY 3 - 2012
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OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY 3 - 2012
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Last modified
7/16/2012 2:58:07 PM
Creation date
7/16/2012 2:58:05 PM
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Contracts
Company Name
OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY
Contract #
N-2012-081
Agency
COMMUNITY DEVELOPMENT
Expiration Date
11/2/2012
Insurance Exp Date
6/16/2013
Destruction Year
2017
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06/12/2012 13:19 FAX 7142471031 OH INS AGENCY-ALLSTATE [7j 002/002 <br />NAMED INSURED: JANET J OH OBA OH INSURANCE AGENCY <br />POLICY NUMBER 5p661033 <br />PplICY EFFECTIVE DATE: p6/16/2012 POLICY EXPIRATION DATE: 06/16/7 013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ fT CAREFULLY <br />ADDITIONAL INSURED -VENDORS <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLD\ VING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE Pi ART. <br />PRODUCTS /COMPLETED OPERATIpN LIABILITY COVER 4GE PART. <br />SCHEDULE <br />DESCRIPTION OF OPERATIONS: <br />City of Santa Ana, its officers, agents and employees <br />20 Civic Center Plaza <br />Santa Ana, Ca 92701 <br />(If no entry appears above, information required to complete this en iorsement will be shown <br />in the Declarations as applicable to this endorsement. <br />AS TO FORM <br />APPROVED <br />LISA E?iSTORCK <br />assistant City Attorney <br />?l? <br />CG2015 11 $$ <br />Exhibit C
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