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STAGE PLUS EVENT STAGING SERVICES
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Last modified
6/15/2022 3:38:24 PM
Creation date
1/14/2019 12:59:57 PM
Metadata
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Template:
Contracts
Company Name
STAGE PLUS EVENT STAGING SERVICES
Contract #
A-2017-056-02
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/21/2017
Expiration Date
12/31/2019
Destruction Year
2024
Notes
A-2017-056-01
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POLICY NUMBER: 6 8835292 <br />COMMERCIAL AUTO <br />CA 20 48 1013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED FOR <br />COVERED AUTOS LIABILITY COVERAGE <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage <br />under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage <br />provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured: STAGE PLUS, INC. <br />Endorsement Effective Date: 0 8— 0 2— 2 01 9 <br />SCHEDULE <br />Name Of Person(s) Or Organization(s): <br />T14E CITY OF SANTA ANA, RISE MANAGMENT, <br />1OFFICIREIMI'LViEES, AG YSS, AN✓REPRESENT".A`S <br />IVES <br />20 CIVIC CENTER PI,Z pp <br />SAN �'.i'x ANA, CA SA 92f 0-1 4101-58 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Each person or organization shown in the Schedule is <br />an "insured" for Covered Autos Liability Coverage, but <br />only to the extent that person or organization qualifies <br />as an 'insured" under the Who Is An Insured <br />provision contained in Paragraph A.1. of Section 11 — <br />Covered Autos Liability Coverage in the Business <br />Auto and Motor Carrier Coverage Forms and <br />Paragraph D.2. of Section I — Covered Autos <br />Coverages of the Auto Dealers Coverage Forrn. <br />CA20481013 <br />C Insurance Services Office, Inc„ 2011 <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />,�V�t�Q 02 2019 <br />FRANCINE R. VILLAREAL <br />Page 1 of 1 <br />
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