Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Polley Change <br />Number 1 <br />POLICY NUMBER <br />POLICYCHANGES <br />COMPANY <br />EFFECTIVE <br />UCM 5:322097 <br />09/09/2015 <br />SENECA INSURANCE COMPANY, <br />INC. <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />OC Labor Federation <br />Barney & Barney A Marsh & <br />McLennan <br />309 N. Rampart St:., Unit A -E <br />Agency LLC Cc <br />Orange, CA 92868 <br />10i En Lerprise Drive <br />Suite 6330 <br />Aliso Viejo, CA 92656 <br />COVERAGE PARTS AFFECTED <br />Conintercial General Li.abi.lily <br />WINS Entry GBRUNO 9/14/2.015 <br />CHANGES <br />TL is understood and agreed that the City of Aria is added to the policy as Additional <br />insured as per added and attached following forms: <br />CO 20 26 (0 =1/13) Additional Iineured - Designated Person Or Organiza(Lion <br />CO 20 01 (04/13) Primary And Noncontributory - Other Insurance Condition <br />A_ <br />F/c $50 .00 <br />i <br />i� <br />AcClltIonal Iota] I'rehllllm: <br />$50,00 <br />Authorized Representative Signature <br />Copyright, Insurance Services Office, Inc,, 1983 <br />Copyright, ISO Commercial Risk Services, Inc., 1988 <br />IL 12 01 11 85 Page 1 of 1 ❑ <br />EXHIBIT I Direct Bill <br />