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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 2 <br />�1�N yy <br />ADDITIONAL INSURED ENDORSEMENT <br />Philadelphia indemnity Insurance Comp -my <br />Insurance Company <br />This endorsement modifies such insurance as is offered by the provisions of Policy Number: <br />PHPKI824618 relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701: it <br />officers, employees, agents and representative 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 arising out of the operations and uses performed by or on <br />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 <br />or for the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. The inclusion of <br />any person or organization as an insured shall not affect any right which such <br />person or organization would have as a claimant if not so included. <br />4. With respect the additional insureds. this Insurance shall not be cancelled, or <br />materially reduced In coverage or limits except after thirty (30) days written notice <br />has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701. <br />(Completion oftho following, iocludiny countersignature, is +squired to make this endorsement effective.) <br />Effective 09128i2019 . this endorsement form part of <br />policy # PHPK1824618 <br />Issued to (Name Insured) ChariLable Ventures of Orange C.:outity <br />Countersigned by <br />,Mrdrfp;13uruu m <br />M <br />25A-216 <br />
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