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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: 6BRPG0000005359200 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A. Cancellation, 2.1b. is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: LaVerna Davis <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: CP# 697 <br />Effective: 06/08/13 to 06/08/14 <br />SRP08016 <br />,&PyB4OVED AS TO POT% <br />�.. LISA E, STORCK 09/08 <br />Assistant C'�ty A'tyt/oJYr ey <br />c l� <br />
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