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RIVERA, RODRIGO SALOMON (2)
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RIVERA, RODRIGO SALOMON (2)
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Last modified
10/14/2021 1:00:24 PM
Creation date
10/14/2021 12:58:14 PM
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Contracts
Company Name
RIVERA, RODRIGO SALOMON
Contract #
N-2021-200
Agency
Parks, Recreation, & Community Services
Expiration Date
9/30/2022
Insurance Exp Date
6/1/2022
Destruction Year
2028
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POLICY NUMBER: 6BRPG0000007446200 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Organization(s) <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />Named Insured: Salomon Rivera <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to include <br />as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability <br />for "bodily injury", "property damage" or "personal and <br />advertising injury" caused, in whole or in part, by your <br />acts or omissions or the acts or omissions of those <br />acting on your behalf: <br />1. In the performance of your ongoing operations; or <br />2. In connection with your premises owned by or <br />rented to you. <br />However: <br />1. The insurance afforded to such additional insured <br />only applies to the extent permitted by law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the insurance <br />afforded to such additional insured will not be <br />broader than that which you are required by the <br />contract or agreement to provide for such additional <br />insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to Section III <br />— Limits Of Insurance: <br />If coverage provided to the additional insured is required <br />by a contract or agreement, the most we will pay on <br />behalf of the additional insured is the amount of <br />insurance: <br />1. Required by the contractor agreement; or <br />2. Available under the applicable Limits of Insurance <br />shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown in the Declarations. <br />CG 20 26 04 13 © Insurance Services Office, Inc., 2012 <br />Of <br />RldrMnsagrnuntlxvlelon , <br />�����j�\ (RenavreD&ArPaovaoft <br />rM�htM.l �. ViUNbc� <br />® Ruk Management Analyst <br />
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