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FAMILIES TOGETHER 1 - 2004
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FAMILIES TOGETHER 1 - 2004
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Last modified
1/3/2012 3:00:18 PM
Creation date
3/29/2005 9:14:31 AM
Metadata
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Template:
Contracts
Company Name
Families Together of Orange County
Contract #
A-2004-201
Agency
Community Development
Council Approval Date
10/4/2004
Expiration Date
9/30/2005
Insurance Exp Date
9/29/2005
Destruction Year
2010
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<br />-Feb~24-05 02:07P Mar1a Halverson <br /> <br />P.03 <br /> <br />Endorselnent.~o.3 <br /> <br />IT IS AGREED THAT TIm FOLLOWING ARE ADDED AS ADDITIONAL INSURED (8) HEREUNDER <br />BUT ONLY AS RESPECTS LJABILF/Y ARISING OUT OF 'rHE OPERATIONS OF THE NAMEP " <br />INSUR.ED, AND FURTHER, PROVIDf.;o THAT THE INCLUSION OF SUCH ADDITIONAL INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LJABlLITY AS SPECIFiED l1'll"l-fB <br />DECLARATIONS OF THE POUCY. <br /> <br /> <br />SCHEDULE <br /> <br />NAMED INSUREP; <br /> <br />FAMIUES TOGETHER OF ORANGE COUNTY <br />801 S,I,YONI>T, <br />SANTA ANA, CA 92705 <br /> <br />NAMJ<; OF PERSON OR <br />ORGANlZA nON/CERTIFICATE HOLDER,: <br /> <br />CI1'Y OF SANTA ANA <br />2(J CIVIC CP.N1'I!R PLAZA. 110I.25 <br />SANTA ANA.CA 927112 <br /> <br /> <br />PER CERTTF1CA n:;s OF INSIlRANCE APPROVED BY THJ.i COMPANY, AND ON FILE WM'H THE COMPANY <br /> <br />EFFF;CTJVE DATE OF TIllS ENDORSEMENT: 10/27/04 <br /> <br />ArT ACHED TO AND FORMING A PART OF POLICY NO.: 022078458 <br /> <br />All other terms and condilions remain unclumgcd. .. ,'KOV ED AS TO FORM <br /> <br />Insurer: Ii ,L1NOJS UNION INSURANCE COMPANY h"7//2.. <br />Special Liability Insurance Program (SLIP) -- _..-:~ UfO Stitt Sheedy <br />Effcctive September 29, 2004 10 Seplember 29,2005 _.,,,rant City Attorney <br /> <br />DATE ISSUED: 2/14105 <br />
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