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25A - AGMT WIOA FORMULA
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25A - AGMT WIOA FORMULA
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Last modified
6/27/2019 5:16:41 PM
Creation date
6/27/2019 5:05:21 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25A
Date
7/2/2019
Destruction Year
2024
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EXHIBIT 1 <br />ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company Ncy r�-�- TL a�LhanCe ci- G4 <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># 2().. —��._- relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92702; its officers, employees, agents and volunteers are named as additional insureds <br />("additional insureds") with regard to liability and defense of suits arising from the <br />operations and uses performed by or on behalf of the named insured. <br />2. With respect to claims arlsing out of the operations and uses performed by <br />or on behalf of the named insured, such insurance as is afforded by this. policy Is <br />primary and is not additional to or contributing with any other insurance carried by -or for <br />the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to the company's limits of -liability. - The ' <br />'Inclusion of any person or organization as an insured shall not affect any right which <br />such person or organization would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shalt not be <br />canceled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City' of Santa Ana, 20 Civic CenteF Plaza; Santa Ana, <br />California 92702. <br />(Completion of the following, including countersignature, .is required to make this <br />endorsement effective.) <br />Effective " Z 2t718 this endorsement form as a part of <br />Policy # „2016 -- 051. �1 <br />Issued to 0V-W'IdP C U, iciro��� t nera n�{C 4r iS Cen i <br />Named Insured' <br />Countersigned by_. <br />Authorized R present 've <br />25A-101 <br />
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