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TUSTIN IRVINE MEDICAL GROUP 2 -2012
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TUSTIN IRVINE MEDICAL GROUP 2 -2012
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Last modified
9/26/2012 9:54:01 AM
Creation date
7/16/2012 2:58:08 PM
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Contracts
Company Name
TUSTIN IRVINE MEDICAL GROUP
Contract #
N-2012-080
Agency
PERSONNEL SERVICES
Destruction Year
0
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BSP704154 JOHN G ALEVI ZOS DO EFFECTIVE: 08/72/2012 PROCESSED: 06/08/2012 <br />POLICY NUMBER: <br />BUSINESSOWNERS <br />BP 04 48 01 06 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ tT CAREFULLY. <br />ADDITIONAL INSURED -DESIGNATED PERSON <br />OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM , <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />r <br />CITY ?F SANTA ANA <br />ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED AS <br />ADDITIONAL INSUREDS WITH <br />REGARDS TO LIABILTV AND <br />DEFENSE OF SUITS ARISING FROM <br />THE OPERATIONS ANO USES <br />PREFORMED BV OR ON BEHALF OF <br />THE NAMED INSUREDS <br />20 CIVIC CTR PLAZA <br />SANTA ANA CA 92701 <br />to complete this Schedule, if <br />The following is addeµ to Paragraph C. Who Is An Insured in Section 11 -Liability: <br />3, Any person(s) or organizaiion(s) shown in the Schedule is also an additional insured, but only with respect to <br />liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by <br />your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing <br />operations or in connection with your premises owned by or rented to you. <br />BP 04 48 09 06 ©ISO Properties, Inc., 2004 Page 1 of ? <br />o?osai.Fw.?
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