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BAUTISTA, SANTIAGO
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BAUTISTA, SANTIAGO
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Last modified
8/24/2022 10:55:40 AM
Creation date
5/14/2019 3:23:23 PM
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Contracts
Company Name
BAUTISTA, SANTIAGO
Contract #
N-2019-081
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2020
Destruction Year
2025
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POLICY NUMBER: 6BRPG0000007213900 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A. Cancellation, 2.b. is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: Santiago Bautista <br />DBA: Te-Kenjutsu-Kan Karate -Do <br />Additional Insured: City of Santa Ana Risk Management Division <br />20 Civic Center <br />Santa Ana, CA, 92701 <br />CP# 3 <br />Effective Date: 01/01/2020 - 01/01/2021 <br />& APPROVED <br />if FMFNT DIVISION <br />0 2020 <br />M. LAMBERT <br />SRPG8016 09/08 <br />
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