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LIEN ON ME 1 - 2000
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LIEN ON ME 1 - 2000
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Entry Properties
Last modified
3/27/2017 2:45:27 PM
Creation date
3/28/2006 7:53:15 AM
Metadata
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Template:
Contracts
Company Name
Lien on Me, Inc.
Contract #
A-2000-141
Agency
Personnel Services
Council Approval Date
8/21/2000
Insurance Exp Date
8/15/2007
Notes
Workers' Comp expires 06/01/08
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<br />. <br /> <br />. <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />'-' <br /> <br />Insurance Company ___ TUDOR INSURANCE. CO. <br /> <br />Th~~~fment modlfie:s &uch insurance as is afforded by !he prolllsian. of Policy <br /># L 00 456 _.relating to the followIng: <br /> <br />1. The City of Sanlll Anll, 20 Cillic Cenler Plaza, San1a Ana, California <br />92701; itlI officer:.. llmployeN. agents. lIolunteers and repr.entallvea are nlllTled as <br />additional in.urad. ("addillonal Insureds") with regard to liability and deflanae of suits <br />arising from th. operations and uses performed by (If on behalf of the named inllUred, <br /> <br />2. Wrth ntSpect to olairna IIrising out of the operations and usell performed by <br />or on behalf of the named insured. such in..uanCll as is affordlld by thia poli<:v is <br />prim<ilry and is not additional to or contributing wilh any other inaurance 1lIIm.d by or for <br />the benefit of the additional insureds. <br /> <br />3_ This insurance applilils separatelY to each insured .inst whom daml is <br />made or 5uit is brought except with respect to Ih. company'. limit. of liability_ The <br />inclusion 0' any person or organization liS an inautild .hall not afftid any nght which <br />l:uch person or organization would have.. II claimant if not so included. <br /> <br />-..J <br /> <br />4_ With 11I5ped to the addllional Inllllrllds, thie Inaullmge ahall not be <br />cancelled, or materially reduced in coverage or Iimils except after thirty (30) days written <br />notice has been given to lhe CIty of Santa Ana, 20 Civic Center Plaza, Santa Ana. <br />California 92701. <br /> <br />, <br /> <br />(Completion of the folloWing. including countersignature. is required to maka this <br />endorMment effective.) <br /> <br />Effedive <br /> <br />3-25- 02 <br /> <br />. this nndorsemenl form .. a part of <br /> <br />poUcy' SPL-0006456 <br />("ued to LIEN ON <br /> <br />MJ;:~.)~, <br /> <br />Name<S lnllured -- <br /> <br /> <br />Co~__b, ~ ~ '" / <br />--'=-./ ~~iztd epl1l58nt3rille <br /> <br />. <br /> <br />'-" <br /> <br />.^&;AS <br /> <br />or <br />Laura Sbeedy <br />ikpUlv City Attorney <br /> <br />TO FORM <br /> <br />~ <br /> <br />W 3911d <br /> <br />nSNI AilS 5 lllIN0100 <br /> <br />1: lS0EL5 <br /> <br />0~:50 1:001:/81/50 <br />
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