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RUFFIN, DON A. AND ARLENE B. 2 - 2013
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RUFFIN, DON A. AND ARLENE B. 2 - 2013
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Last modified
5/26/2017 11:35:06 AM
Creation date
9/5/2013 3:38:17 PM
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Contracts
Company Name
RUFFIN, DON A. AND ARLENE B.
Contract #
N-2013-119
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2015
Insurance Exp Date
12/31/2015
Destruction Year
2020
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ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company _ HCC Specialty, Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># S13/7001236 relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92702; its officers, employees, agents and volunteers are named as additional insureds <br />("additional insureds") with regard to liability and defense of suits arising from the <br />operations and uses performed by or on behalf of the named insured, <br />2. With respect to claims arising out of the operations and uses performed by <br />or on behalf of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other insurance carried by or for <br />the benefit of the additional insureds. <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 liability. The <br />inclusion of any person or organization as an insured shall not affect any right which <br />such person or organization would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be <br />canceled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92702, <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective.) <br />Effective January 22. 2014 , this endorsement form as a part of Policy # S13/7001236 <br />Issued to USPTA Inc.- Member Arlene Ruffin <br />Named Insured <br />Countersigned by <br />.J 1 <br />Authorized RepCesentative <br />� <br />S . <br />��� <br />`o�ac's <br />P "'1OPtro00 <br />�i9 pity <br />P55isO <br />
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