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SECOND CHANCE OC SHELTER
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Last modified
7/20/2020 3:29:52 PM
Creation date
7/20/2020 3:25:02 PM
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Contracts
Company Name
SECOND CHANCE OC SHELTER
Contract #
A-2020-066-05
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/7/2020
Expiration Date
6/30/2021
Insurance Exp Date
9/14/2020
Destruction Year
2026
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UNITED STATES LIABILITY INSURANCE GROUP <br />WAYNE, PENNSYLVANIA <br />This endorsement modifies insurance provided under the following: <br />COIVIMFRCIAL GENERAL LIABILITY COVERAGE FORM <br />Primary And Non -Contributory - Written Contract <br />Name of Person or Organization: <br />EtYeotive Date: 0911412019 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZAM•25 <br />SANTA ANA, CA 92801 <br />(If no entry appearsabove, the inronnafion required to complete this endorsement will be shown in the Declarations as applicable to this <br />endorsement) <br />SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4.OTHER <br />INSURANCE, a. Primary Insurance is amended with the addition of the following: <br />The coverage afforded by this policy to the person(s) or organization(s) listed above is primary and non- <br />contributory if: <br />1. This insurance is required to be primaryand non-cotitributory under a written contract; and <br />2. The loss to be covered occurs on or after the effective date of the written contract; and <br />3. The loss to be covered resulted solely and exclusively from your ongoing acts or omissions or the <br />ongoing acts or omissions of those acting on your behalf in performing "your work" under a written <br />contract referred to above. <br />4. The person(s) or organization(s) is an additional insured under this policy. <br />However, the coverage provided by this endorsement does not apply to any coverage provided for an "auto" <br />on a "non -owned auto", "hired auto", uninsured motorists coverage, underinsured motorists coverage, personal <br />injury protection, property protection or similar no-fault coverage by whatever name called and/or an "auto" <br />coverage of any type. <br />SECTION V - DEFINITIONS is hereby amended by the addition of the follovving: <br />"Hired auto" means any "auto' you tease, hire, rent or borrow. This does not include any <br />"auto' you lease for a period of more than thirty (30) consecutive days nor does it include <br />any "auto" you lease, hire, rent or borrow from any of your "employees", your partner or <br />your "executive officers" or members of their household. <br />"Non -owned auto" means any "auto" you do not own, lease, hire, rent or borrow which is <br />used in connection with your business. However, if you are a partnership, a "non -owned <br />auto" does not include any "auto" owned by any partner. <br />All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and <br />takes effect on the effective date of your policy unless another effective date is shown. <br />L 776 (10-13) REVIEWED & APPROVED Page I of 3 <br />By Risk MAN.AGEN1ENr DIVISION <br />n,� �1C K <br />FRANCINE R. VILLAREAL <br />
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