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FAMILIES TOGETHER 2 -2004
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FAMILIES TOGETHER 2 -2004
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Last modified
1/3/2012 3:00:20 PM
Creation date
3/29/2005 9:15:43 AM
Metadata
Fields
Template:
Contracts
Company Name
Families Together of Orange County
Contract #
A-2004-202
Agency
Community Development
Council Approval Date
10/4/2004
Expiration Date
9/30/2005
Insurance Exp Date
9/29/2005
Destruction Year
2010
Notes
Amended by A-2004-202-01, A-2004-202-02
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<br />-Feb~24-05 02:07P Maria Halverson <br /> <br />P.03 <br /> <br />Endorsem!;!nt. No.3 <br /> <br />ADDITIONAL INSU,lU:n - DI':SIGNA.:!]:n PERSON OR OR(iANI7.A1'ION <br /> <br />iT IS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LTABILrty ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURED, AND I'URTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED ,. <br />SHALL NOT SERVE TO lNCREASE THE COMPANY'S LIMIT OF LIABiLITY AS SPECIFIED TN THIZ <br />DECLARATIONS OF THE POLICY. <br /> <br />SCHEQUItt: <br /> <br />NAMED JNSUBEP; <br /> <br />FAMIUES TOGETHER OF ORANGE COUNTY <br />801 S, LYONST, <br />SANTA ANA, C:A 9270~ <br /> <br />NAME OF PERSON OR <br />ORGANIZA TlQN/CERTlFICA.TE HOLDER: <br /> <br />CITy OF SANTA ANA <br />20 CIVIC CIlN1'I!R PLAZA, M.2S <br />SANTA ANA,CA 92702 <br /> <br /> <br />PER CERllHCA TlS OF INSURANCE APPROVED!lY TH1i COMPANY, AND ON FILE Wn'l1 THE COMPANY <br /> <br />EFFECTIVE DA.TE OF THIS ENDORSEMENT: 10/27/04 <br /> <br />ATTACHED TO AND FORMING A PART OF POLICY NO.: 022078458 <br /> <br />All other terms and condilions remain unchanged. .. 1'1<0 V 1::0 AS TO FORM <br /> <br />Insurer: II.LlNOIS UNION INSURANCE COMPANY 7--'3"7 '?-/2- <br />Special Liability Insurance Program (SLlP) ---."-~"ra Stilt Sheedy <br />Effeclive September 29.2004 to September 29,2005 .,,,,tant City Attorney <br /> <br />DAlE ISSUED: 2/14105 <br />
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