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FIESTA DE CARNIVAL (3)-2018
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FIESTA DE CARNIVAL (3)-2018
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Last modified
5/8/2020 8:32:04 AM
Creation date
3/12/2018 3:03:13 PM
Metadata
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Template:
Contracts
Company Name
FIESTA DE CARNIVAL
Contract #
A-2018-019
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
2/6/2018
Insurance Exp Date
1/1/2020
Destruction Year
0
Document Relationships
FIESTA DE CARNIVAL (2)
(Amended By)
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CANCELLATION ENDORSEMENT <br />Named Insured <br />Paul Maurer dba Paul Maurer Shows Endorsement Number <br />Policy Symbol Policy Number Policy Period affective Hate of Endorsement <br />G20496496 0410112018to 04/01/20t9 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company (CHUBB) <br />Insert the policynumber. The remainder of the Information is to be completed only when this endorsement is issued subsequent to the preparatlon of the policy <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Paragraph 2. of CANCELLATION (Common Policy Conditions) is replaced by the following: <br />2. We may cancel this Coverage Form by mailing or delivering to the first Named Insured and the person or <br />organization shown in the Schedule written notice of cancellation at least: <br />a. 30 days before the effective date of cancellation if we cancel for nonpayment of premium; or <br />b. 30 days before the effective date of cancellation if we cancel for any other reason. <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana, Parks <br />Recreation & Comm Services Agency <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />LD-5W26 (8/95) <br />A v <br />Au odzed Agent <br />Page 1 of 1 <br />ee\��pJ P�fi <br />
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