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CAMP FIRE USA O.C. 1
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CAMP FIRE USA O.C. 1
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Entry Properties
Last modified
1/3/2012 3:08:01 PM
Creation date
9/4/2003 10:58:06 AM
Metadata
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Contracts
Company Name
Camp Fire USA Orange County Council
Contract #
A-2003-074-8
Agency
Community Development
Council Approval Date
5/5/2003
Expiration Date
6/30/2004
Insurance Exp Date
7/12/2004
Destruction Year
2009
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<br />NAMED aeiURID AuTHOR2ED REPRE9ENTAtiVE ~ ,~ <br />C:81ni1Taa USA Bmce A. Key ~ ' ~-.. <br />COYERAOE PARTS ARECTEp <br />General Liabili.y Package <br />CHANOP.S <br />In corwideratlon of an ~ditiond premium of 529.00, k la agreed that the <br />fogorring additional Insurod fi added per form Ct3202f3: <br />1. The City Of £ aMa Area, 20 Civic Gentar PL-sa, Sarxa Ana, Cdkornla 92701: <br />Ite ofReeri, E mpIGYe9a. epelltS, YOIUtxear6 ertd repr'asantadves ere named <br />ae eddldonal Inautedc I'additlonai insuradsry with regard m IiabiYrty and <br />defense of srNts arising from the operatlone and uses performed 6y a on behdf <br />of the name[ insured. <br />2. With respectr to ddmi arfeirlg out of the operations and wee performed by or on <br />behalf of the named IrasNed, ouch ineurena as is afforded try this poUw is <br />primary and s not additonal to yr dontributin9 vvtdt sny other insurulca <br />carried by or iw the beraNt of the oddkional incursda. <br />3. TMs ineurenre epPl~ separately to each insured einat whom clam k made or <br />auk Is broup x except vuFth reapact to the compam~j s limits of ge611ity. The <br />indusbn of :Iny person or orpartizatlon sa sn Insured shall trot affect arrv <br />right which r uch parson or organization would have as a ddmerd k trot <br />so Included. <br />4. Wrth respect to the addhbnal insureds, this krwrance churl not 6e canodled,or <br />materidly reduced M ocverape or Iirrdt! except attar tMrry I30i days written <br />natiae has Moen given io the C1ty o} Santa Ana, 20 gvio Center Plaza, <br />Santa Ana, t:aifomia 92701. <br />Aq other terms tmd conditions remdn the same. <br />Pp®AN1M ADJUST6R~1'f <br />PREMIUM GY QIANOE ErfEGTIVE DATE PaevI0U81NST NEW e13TALLMENT <br />ADIXr10N Al RETURN Pr4BMIlINI PNEMNIM <br />S ?9.00 t S S <br />Audwrizsd Representative nature <br />`~ IL 12 01 11 S5 Copyright, 190 Commerdd Rick Services, Inc., 7983 ~' ~ ~ ~ :`" <br />r <br />~Sheed~ <br />-. _ -7Seputy City Atti~rney __ ._..___ ..___ ..._ <br />
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