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KALISKI, JOHN AIA DBA JOHN KALISKI ARCHITECT 5 - 2013
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KALISKI, JOHN AIA DBA JOHN KALISKI ARCHITECT 5 - 2013
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Entry Properties
Last modified
4/29/2016 1:08:03 PM
Creation date
12/9/2013 10:41:23 AM
Metadata
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Template:
Contracts
Company Name
KALISKI, JOHN AIA DBA JOHN KALISKI ARCHITECT
Contract #
N-2013-163
Agency
PUBLIC WORKS
Expiration Date
6/30/2014
Insurance Exp Date
12/13/2014
Destruction Year
2019
Notes
Amended by N-2013-163-01
Document Relationships
KALISKI, JOHN AIA DBA JOHN KALISKI ARCHITECT 5A - 2013
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
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POLICY NUMBER: BA57081_755 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified <br />by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of <br />the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Endorsement effective <br />12/13/2013 <br />Named Insured <br />Countersigned by <br />John Kaliski Architects ohs Urban Studio <br />SCHEDULE <br />Name of Person(s) or Organization(s): <br />(Authorized Representative) <br />*Person or organization completed to read: City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: Pre -Design <br />AS for Bistro St Prop, Washington Ave & 17th St <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that <br />person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the <br />Coverage Form. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br />
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