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MERCY HOUSE CENTER 3
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MERCY HOUSE CENTER 3
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Entry Properties
Last modified
8/23/2021 1:03:29 PM
Creation date
8/25/2005 2:31:25 PM
Metadata
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Template:
Contracts
Company Name
Mercy House
Contract #
A-2005-078-023
Agency
Community Development
Council Approval Date
4/4/2005
Expiration Date
6/30/2006
Insurance Exp Date
5/2/2006
Destruction Year
2011
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Aus•10. 2005 10:31AM No•1619 P- 2/2 <br />FROM : FAX NO. :714-647-6549 Aug. 10 2005 09:06RM P1 <br />EXHIBIT B <br />ADDITIONAL INSURED fiN IQE& vIENT <br />FOR COMMERCIALOENERAJ, L ILITY PO <br />Insurance Company GREAT AMERICAN INSURANCE COMPANY <br />This endorsement modifies such insurance as is afforded by the provisions of policy <br /># PAC5373885— relatingtothofollowing: <br />I. The City of Santa Ana, 20 Civic Center Plaza, Santa Aria, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional insureds <br />("additional insureds,,) with regard to liability and defense of suits arising from tho operations <br />and uses performed by or on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. <br />3• This insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. The inclusion of any <br />person or organization as an insured shall nut affect any right which such person or organization <br />would have as a claimant if not so included_ <br />4. With respect to'the additional insureds, this insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza Santa Ana California 92701. <br />(completion of the following, including countersignature, is required to make this cndorsemont <br />effective.) <br />Effective . n5 f IQOS this endorsement form as a part of <br />Policy # 2AC537 _ <br />Issued to MER—„9J1SE TRA ONAL LIVING CENTER <br />Namcd Insured <br />Countersigned by <br />A thorized Representative <br />� "ROVED AS TO FORM <br />' I/z <br />„eaant CiIY Attorney <br />IO <br />
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