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DAVIS, LAVERNE 3 -2015
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DAVIS, LAVERNE 3 -2015
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Last modified
3/25/2020 9:33:08 AM
Creation date
4/22/2015 1:21:19 PM
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Contracts
Company Name
DAVIS, LAVERNE
Contract #
N-2015-048
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2017
Insurance Exp Date
12/31/2017
Destruction Year
2022
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POLICY NUMBER: 6BRPG0000005527000 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A. Cancellation, 2.b. is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: LaVerne Davis <br />Additional Insured: The City of Santa Ana and it's officers, employees, agents and representatives <br />Attn: Carmen Acosta <br />1825 W. Civic Center <br />Santa Ana, CA 92701 <br />Ref: CP# 1203 <br />Effective: 06/08/14 to 06/08/15 <br />9RPG9016 <br />'rO YOW <br />L P E ST NttomeY <br />psslstant City <br />09/06 <br />
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