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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 />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CANCELLATION <br />This endorsement modifies insurance under the following: <br />COMMON POLICY CONDITIONS, A_ Cancellation, 2_b_ is deleted and replaced by: <br />30 days before the effective date of cancellation if we cancel for any other reason. <br />This endorsement applies only to the insureds designated below: <br />Named Insured: Salomon Rivera <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: 06/0112021 — 06/0112022 <br />Named insured: Salomon Rivera <br />CP# 37 <br />SRP68018 <br />Rick Mougen dMisiot <br />REMEWM&APRaMRr <br />WO Risk Management Anyst <br />
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