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Valles, CYNTHIA 1
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Valles, CYNTHIA 1
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Last modified
7/8/2020 10:16:29 AM
Creation date
11/17/2004 2:50:55 PM
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Template:
Contracts
Company Name
Cynthia Valles
Contract #
N-2004-100
Agency
Community Development
Expiration Date
6/30/2005
Insurance Exp Date
6/15/2005
Destruction Year
2010
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<br />"""""""""" ö9ïò"7ïö'¡""" ï2": "49' "FU" '8"7"'1 "53"6"" 9iÙff''''"'''"' ..." Ï)ì"RËëT' "BÏi:t"........".."...........".................""..""............ Tt¡"Ò"Ò3'''''''''''''''''''' <br /> <br />~~l <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: 65 S8M PY2472 <br /> <br />BUSINESS LIABILITY COVERAGE FORM <br /> <br />C. Who is an insured in the BUSINESS <br />LIABILITY COVERAGE FORM is <br />amended to include as an insured the <br />person or organization shown in the <br />Declarations but only with respect to <br />liability arising out of the operations of the <br />named insured. <br /> <br />For losses covered under the BUSINESS <br />LIABILITY COVERAGE of this policy this <br />insurance is primary to other valid and <br />collective insurance which is available to <br />the person or organization shown in the <br />Declarations as an Additional Insured. <br /> <br />City of Santa Ana <br />20 Civic Plaza Center Plaza <br />PO Box 1988 <br />Santa Ana CA 92702 <br /> <br />Y' <br />/-)/~", ({/ 2 If( <br /> <br />,. <br /> <br />Form 58 0449 0593 Printed in U.S.A (NS) <br /> <br />Copyright, Hartford Fire Inr.urance Company, 1993 <br />
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