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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. 68RPGO000006142000 <br />THIS ENDORSEMENT CHANOeS THE POLICY, PLEASE READ IT CAREFULLY, <br />A 0 <br />This endorsement modifies insurance under the following; <br />COMMON POLICY CONDITIONS, A, Ganaallation, 2.b. Is delated and replaced by; <br />30 days before the effective, data of cancellation if we cancel for any other reason. <br />This endorsement appRes only to the Insureds designated below <br />Named Insured: Laura Lorraine Simon <br />Additional Insured; Clty of aanla Arta ReereatlanHopary M; its officials, officers, directors; employees, agents and volumeers, <br />1825 M Croo Oemer <br />Santa Ana, CA 92703 <br />1� AS TO FOWW <br />X9/08. t <br />I.tSA L. STORCK <br />As$ktant City Alforney .— <br />
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