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PALACIOS LAW OFFICE (2)
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PALACIOS LAW OFFICE (2)
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Last modified
5/20/2025 4:32:56 PM
Creation date
11/4/2024 2:11:49 PM
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Contracts
Company Name
PALACIOS LAW OFFICE
Contract #
N-2022-334A
Agency
Planning & Building
Expiration Date
10/31/2025
Insurance Exp Date
6/28/2025
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AMENDATORY ENDORSEMENT NO.: JQF1805527 <br />ADDITIONAL PREMIUM: Included <br />ASSURED: ELIO PALACIOS, JR., DBA PALACIOS LAW OFFICE <br />EFFECTIVE: February 1, 2025 to February 1, 2026 <br />:0big S) 011 W 10.311 <br />In consideration of the Assured's payment of the premium set forth, it is <br />hereby understood and agreed that under Endorsement No.: JQF1805527 the <br />following: <br />City of Santa Ana, its City Council, officers, officials, <br />employees, agents, and volunteers <br />is/are added to coverage under Endorsement No. JQF1805527 as an additional <br />insured(s), but only as respects the operations of the Named Assured and <br />subject to the terms, conditions, limits, and exclusions of the policy of <br />insurance. It is further agreed that Underwriters waive all rights of <br />subrogation against the Additional Insured with respect to claims or losses <br />arising out of services provided by the Named Assured pursuant to the <br />contract between the Named Assured and the Additional Insured referenced <br />above. <br />CEMSN 300 (07/21) <br />All other terms, conditions, limits and exclusions remain unchanged. <br />Attached to and forming part of Certificate No.: CEM 14 - 24 <br />Dated: March 18, 2025 Complete Equity Markets, Inc. <br />dba Complete Equity Markets Insurance Agency, In . (CASL#OD44077) <br />(UMR) B2429BR2401037 �—�p <br />Lib•" 641 By (_ r <br />Lawrence T.P. Molloy <br />Endorsement #13 <br />
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