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POCHARTE -2014
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Last modified
8/24/2022 2:41:20 PM
Creation date
9/8/2014 4:56:26 PM
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Template:
Contracts
Company Name
POCHARTE
Contract #
N-2014-125
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2014
Destruction Year
2019
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Exhibit B <br />ADDITIONAL INSURED ENDORSEMENT FOR <br />COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company: State farm Insurance <br />This endorsement modifies such insurance as is afforded by the provisions of Policy Number: 92-C3- <br />N778-3 relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its elected and <br />appointed officials; its officers, employees, agents, volunteers and representatives are names as <br />additional insured with regard to liability and defense of suits arising from operations and uses <br />performed by or on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by or on behalf of the <br />names insured, such insurance as is afforded by this policy is primary and is not additional to or <br />to contributing with any other insurance carried by or for the benefit of the additional insured. <br />3. This insurance applies separately to each insured against whom claim is or suit is brought except <br />with respect to the company's limit of liability. This inclusion of any person or organization as <br />an insured shall not affect any right which is such person or organization would have as claimant <br />if not so included. <br />4, With respect to the additional insured, this insurance shall not be cancelled, or materially reduced in <br />coverage or limits except after thirty (30) written notice has been given to the City of Santa Ana , 20 <br />Civic Center Plaza , Santa Ana, California 9270 1 (Completion of the following, including <br />countersignature, is required to make this endorsement effective.) <br />Effective September 10, 2014, this endorsement form as a part of Policy Number: 92-C3-N778-3 <br />Issued to Sandra Pena Sarmiento DBA OC Film Fiesta <br />ta S n Aua <br />Countersigned by / � <br />Authorized en'DV'nn fr) AS TO FOR14 <br />LISA E. S-roRCK <br />Assistant City AttorneY <br />17 <br />
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