Laserfiche WebLink
General Endorsement <br />POLICY NUMBER <br />OKA )15) 55963427 <br />Policy Period: <br />From 05/31/2014 To 05/31/2015 <br />12:01 am Standard Time <br />at Insured Mailing Location <br />o This Endorsement Changes The Policy, Please Read it Carefully, <br />THE FOLLOWING APPLIES TO FORM C08883 - AMENDMENT <br />OF OTHER INSURANCE - DESIGNATED PERSONS OR <br />ORGANIZATIONS: <br />COMPLETE ADDITIONAL INSURED: <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />AGENTS, AND REPRESENTATIVE PARKS, RECREATION AND <br />"s COMMUNITY SERVICES AGENCY <br />8 <br />26 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />To report a claim, call your Agent or 1.800-362-0000 <br />CG 70 02 0101 APPROVED AS TO PO'RT4 Page 1 of 2 <br />SA E, STORCS <br />Assistant City Attarney <br />3/ 3 <br />