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FIESTA DE CARNIVAL
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FIESTA DE CARNIVAL
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Last modified
7/23/2019 10:35:43 AM
Creation date
3/25/2019 12:36:47 PM
Metadata
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Template:
Contracts
Company Name
FIESTA DE CARNIVAL
Contract #
A-2019-042
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/5/2019
Expiration Date
2/5/2020
Insurance Exp Date
1/1/2020
Destruction Year
2025
Notes
SECOND AMENDEMENT TO A-2018-019
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CANCELLATION ENDORSEMENT <br />Named Insured Endorsement Number <br />Paul Maurer dba Paul Maurer Shows <br />Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br />G 20496496 04/01 /2019 to 04/01 /2020 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company (CHUBB) <br />Insert the oolicv number. The remainder of the Information is to be comoieted only when this endorsement Is Issued subsequent to the preparallon 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 />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />k�L k'V'&J' I - <br />Authorized Agent <br />LD-5W26 (8/95) Page 1 of 1 <br />
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