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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: 6BRPG0000007"6200 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PRIMARY INSURANCE -ADDITIONAL INSURED <br />This endorsement modifies insurance under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITICNS, 4. OtKer Insurance, a. the fc4lowing is added: <br />Coverage afforded under this Policy is primary insurance and OTHER INSURANCE shalt not apply as <br />respects to the additional insured named below, however this insurance does not apply to the sole <br />negligence of such additional insured. Further, we will have no duty to defend such additional insured <br />against any suit to which this insurance does not apply. <br />Additional Insured: City of Santa Ana, officers, agents, employees, and volunteers <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Effective: 06101/2021 —0610112022 <br />Named Insured: Salomon Rivera <br />CP# 37 <br />SRPG8018 <br />E. RlekMnwganadDMsLn <br />Rentwm n Appwv®BY: <br />lL V:t!LvreL <br />® Risk Manzgemenl Anzlyrt <br />
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