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DAVIS, LAVERNE 2 - 2013
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DAVIS, LAVERNE 2 - 2013
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Last modified
5/18/2017 12:42:51 PM
Creation date
7/1/2013 9:05:44 AM
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Template:
Contracts
Company Name
DAVIS, LAVERNE
Contract #
N-2013-092
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2015
Insurance Exp Date
6/8/2015
Destruction Year
2020
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POLICY NUMBER: 6BRPG0000006359200 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PRIMARY INSURANCE - ADDITIONAL INSURED <br />This endorsement modifies Insurance under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, a. the following is added: <br />Coverage afforded under this Policy is primary insurance and OTHER INSURANCE shall not apply as respects to the <br />additional insured named below, however this insurance does not apply to the sole negligence of such additional insured. <br />Further, we will have no duty to defend such additional insured against any suit to which this insurance does not apply. <br />Additional Insured: The City of Santa Ana and it's officers, employees, agents and representatives <br />Attn: Carmen Acosta <br />1825 W Civic Center <br />Santa Ana, CA 92701 <br />Ref: Laverne Davis <br />Ref: CP#697 <br />Effective: 06/08/13 to 06/08/14 <br />SRPG8018 <br />10 YO''R% <br />tISA rORC4< 08/08 <br />p�,ssistant City Attorney <br />
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