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CAZALES, RODOLFO DBA TOYAMA KARATE-DO ORGANIZATION-2016
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CAZALES, RODOLFO DBA TOYAMA KARATE-DO ORGANIZATION-2016
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Last modified
3/25/2020 9:22:14 AM
Creation date
8/31/2016 4:01:55 PM
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Contracts
Company Name
CAZALES, RODOLFO DBA TOYAMA KARATE-DO ORGANIZATION
Contract #
N-2016-129
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
1/1/2018
Insurance Exp Date
1/1/2017
Destruction Year
2022
Notes
GL AND WC: 01/01/2017
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ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company: t" OV 510(l W421 r Y lh C± <br />This endorsement modifies such insurance as in afforded by the provisions of <br />Policv;I 15 - `70051 VG <br />1. The City of Santa Ana, 20 Civic Center plaza, Santa Ana, California 92701, officers, <br />employees, agents and representatives are named as additional insured with regard to <br />liability and defense of suits arising from the operations and, uses performed by on behalf <br />of the named Insured. <br />2. With respect to claims arising out of the operations and uses performed by on behalf of <br />the named insured., such insurance as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insured. <br />3. This insurance applies separately to each insured against whom claim ' de or suit is <br />brought except with respect to the company's limits of liability.. Istoa of any <br />person or organization as an insured shall not affect any rio6 itch such person or <br />organization would have as a claimant if not so included. A -'L'}j <br />4. With respect to the additional insured, this insurance sN <br />reduced in coverage or limits except after thirty-30 days <br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Cal <br />(Completion of the following, including countersignature, is required to male?k endorsement effective). <br />Effective %—15 —2-0 f LO , this endorsement form as part of <br />Policy # <br />Issued It <br />Countersigned b <br />IN <br />
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