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AUNTIE ROXIE'S LIFE OF THE PARTY - 2016
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AUNTIE ROXIE'S LIFE OF THE PARTY - 2016
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Entry Properties
Last modified
4/5/2017 10:54:06 AM
Creation date
8/15/2016 10:36:38 AM
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Contracts
Company Name
AUNTIE ROXIE'S LIFE OF THE PARTY
Contract #
N-2016-119
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
8/11/2016
Insurance Exp Date
3/5/2017
Destruction Year
2021
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THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />AMENDMENT OF OTHER INSURANCE CONDITION <br />PRIMARY ADDITIONAL INSURED <br />"This endorsement is EFFECTIVE 04/30/2016 "and is part of Policy Number: W9264221 <br />*Issuedto:David Skale DBA Auntie Roxies Life of the Party <br />"Entry optional if shown In the Common Policy Declarations. If no entry is shown, the effective date of the endorsement <br />Is the same as the effective date of the policy. <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Designated Additional Insured <br />City of Santa Ana, its officers, agents and employees, 20 Civic Center <br />Plaza, Santa Ana, CA 92701 <br />Designation of Premises <br />VARIOUS LOCATIONS IN THE CITY OF SANTA ANA CALIFORNIA <br />Paragraph 4.a. Primary Insurance of the Other Insurance Condition - (SECTION IV - COMMERCIAL GENERAL LIABILITY <br />CONDITIONS) is amended by adding the following provision: <br />The provisions of paragraph 4.a., Primary Insurance, apply to the Additional Insured scheduled above, <br />Reviewed <br />re.. er <br />A_ <br />Monrque <br />Rosales • r.'w. <br />SAPL/Youth Services <br />S2716 CG (7105) includes copyrighted material of Insurance Services Office, Inc„ with Its permission. '.. <br />
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