Laserfiche WebLink
Policy number: 989951062 <br /> Stage Plus,Inc. <br /> Page of 4 <br /> Premium discount <br /> Policy <br /> ............................................................................................................................................................................. <br /> 989951062 Multi-Product <br /> Additional Insured information <br /> Blanket Additional Insured applies. <br /> .................................................................................................................................................................... <br /> 1. Additional Insured City of Santa Ana <br /> Attn: Parks, Recreation,Community Svcs <br /> 20 Civic Center Plaza, M-23 <br /> Santa Ana,CA 92701 <br /> Waiver of Subrogation information <br /> Blanket Waiver of Subrogation applies. <br /> .................................................................................................................................................................... <br /> 1. Waiver of Subrogation City of Santa Ana <br /> 20 Civic Center Plaza, M-23 <br /> Santa Ana,CA 92701 <br /> Important Notice <br /> For your protection California law requires the following to appear on this form.Any person who <br /> knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a <br /> claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state <br /> prison. <br /> Company officers <br /> President Secretary <br /> Form 6489 CA(05/21) <br />