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MILLER & PIDSKALNY - 2015
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MILLER & PIDSKALNY - 2015
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Last modified
5/20/2015 1:31:33 PM
Creation date
5/20/2015 1:29:09 PM
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Contracts
Company Name
MILLER & PIDSKALNY
Contract #
N-2015-075
Agency
COMMUNITY DEVELOPMENT
Expiration Date
11/4/2015
Insurance Exp Date
5/19/2015
Destruction Year
2020
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DocuSign Envelope ID: 3C9C2C95-5601-4E77-AEAE-OEB12F915D5E <br />EXHIBIT C <br />ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company : Preferred Contractors Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy # PCO006754-00 <br />relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, <br />employees, agents and volunteers are named as additional insureds ("additional insureds") with regard to <br />liability and defense of suits arising from the operations and uses performed by or on behalf of the named <br />insured. <br />2. With respect to claims arising out of the operations and uses performed by or on behalf of the <br />named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing <br />with any other insurance carried by or for the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is made or suit is brought <br />except with respect to the company's limits of liability. The inclusion of any person or organization as an <br />insured shall not affect any right which 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 canceled, or materially <br />reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa <br />Ana, 20 Civic Center Plaza, Santa Ana, California 92702. <br />(Completion of the following, including countersignature, is required to make this endorsement effective.) <br />Effective, April 20, 2015, this endorsement form as a part of Policy # PCO006754-00 <br />Issued to The City of Santa Ana, its officers, employees, agents and volunteers. <br />Named Insured <br />o QSigned by: <br />66� F6& 4/20/2015 <br />Countersigned by F94799F DE499- <br />Authorized Representative <br />a- <br />i <br />Exhibit C <br />
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