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DIAZ, SUZY - 2012
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DIAZ, SUZY - 2012
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Last modified
2/4/2016 2:40:06 PM
Creation date
10/17/2012 7:42:45 AM
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Template:
Contracts
Company Name
DIAZ, SUZY
Contract #
N-2012-122
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2012
Insurance Exp Date
6/3/2013
Destruction Year
2018
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ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company: <br />This endorsement modifies such insurance as in afforded by the provisions of <br />Policy # -N L_ 6) Q I AL -L-11 a i f 41� S '�, <br />Relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, <br />officers, employees, agents and representatives are named as additional <br />insured with regard to liability and defense of suits arising from the <br />operations and uses performed by on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by <br />on behalf of the named insured, such insurance as is afforded by this <br />policy is primary and is not additional to or contributing with any other <br />insurance carried by or for the benefit of the additional insured. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to the company's limits of <br />liability. The inclusion of any person or organization as an insured shall <br />not affect any right which such person or organization would have as a <br />claimant if not so included. <br />4. With respect to the additional insured, this insurance shall not be <br />cancelled, or materially reduced in coverage or limits except after thirty -30 <br />days written notice has given to the City of Santa Ana, 20 Civic Center <br />Plaza, Santa Ana, California 92701. <br />Completion of the following, including countersignature, is required to make <br />this endorsement effective. <br />Effective �_ -i1 212 G_!Z , this endorsement form as part of <br />Policy # =-1S1CTe� L1 ti <br />Issued to 4 ; r, _ i,�� 'n <br />- Name 1risured <br />Countersigned,by <br />Authorized, Representative <br />i <br />Title: l�CA [ 0 --cc <br />3/28/11 <br />
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