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JOHNSON FRANK & ASSOCIATES 2 - 2005
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JOHNSON FRANK & ASSOCIATES 2 - 2005
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Entry Properties
Last modified
1/3/2012 2:52:04 PM
Creation date
3/29/2005 10:01:16 AM
Metadata
Fields
Template:
Contracts
Company Name
Johnson Frank & Associates, Inc.
Contract #
A-2005-027
Agency
Public Works
Council Approval Date
2/7/2005
Insurance Exp Date
12/1/2010
Notes
Amended by A-2005-027-01, workers' comp. ins. exp. 1-01-2010
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12/1/2008 <br />POLICY NUMBER: BA68191_639 <br />Johnson-Frank & Associates, Inc. <br />COMMERCIAL AUTO <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply <br />unless modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An <br />Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the <br />Coverage Form. <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): <br />City of Santa Ana, <br />Its Officers, Employees, and Representatives <br />Attn: Sherry Barkley <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to <br />the extent that person or organization qualifies as an "insured" under the Who Is An Insured <br />Provision contained in Section II of the Coverage Form. <br />CA 20 48 02 99 <br />Copyright, Insurance Services Once, Inc., 1998 <br />Page 1 of 1 <br />CERT ND 412;947 6e[Cy Yran 13/i/t00d 10:4C :99 AM Page 4
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