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SIMON, LAURA 3 - 2013
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SIMON, LAURA 3 - 2013
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Last modified
5/26/2017 9:47:34 AM
Creation date
8/5/2013 10:01:34 AM
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Contracts
Company Name
SIMON, LAURA
Contract #
N-2013-104
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2015
Insurance Exp Date
3/24/2014
Destruction Year
2020
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POLICY NUMBER: 6BIRPG0000006142000 COMMERCIAL GENVIRAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <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, thafollowing Is added: <br />uOverage attended Under this Polley IS primary insurance and OTHER INSURANCE atoll not apply as respects to the <br />additional insured named below, however this Insurance does $lot apply to thesole negligence of such additional Insured. <br />Further, we will have no duty to defend such additional Insured against any, suit to Which this insurance does not apply, <br />Additional Insured, City of Santa Ana Rasr0atl06$UParvIs0t, its officlals, officers, directors, employees, agents and <br />volunteers <br />1825 W, CiVic Center <br />Santa Ana, CA 92708 <br />Laura Lorraine Simon <br />Cert :# 2,249 <br />51113=18 <br />APPEOVED AS t M FORM <br />USA E. STDFCK <br />Assiqant Ofty Attorney <br />
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