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SOUTH COUNTY OUTREACH
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SOUTH COUNTY OUTREACH
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Last modified
8/19/2021 6:02:31 PM
Creation date
8/19/2021 5:59:54 PM
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Contracts
Company Name
SOUTH COUNTY OUTREACH
Contract #
A-2021-107-05
Agency
Community Development
Council Approval Date
7/6/2021
Expiration Date
3/31/2022
Insurance Exp Date
11/1/2021
Destruction Year
2027
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POLICY NUMBER: 2020-22015 FORM: NIAC-E26 11 117 <br />INSI)RANCE NAMED INSURED: South County Outreach <br />AEMANCEDF CALIFOAK.TA <br />A <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS (WAIVER OF SUBROGATION) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana Risk Management Division, officers, agents, employees, and volunteers <br />20 Civic Center Plaza Santa Ana, CA 92702 <br />Where you are so required in a written contract or agreement currently In effect or becoming effective during the <br />term of this policy, we waive any right of recovery we may have against that person or organization, who may be <br />named in the schedule above, because of payments we make for injury or damage. <br />NIAC-E2611 17 <br />Plak NtRnWmnenM*M <br />REVIEWED & APPROVED By, <br />F46*-d-w P, VXA"44 <br />0� <br />
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