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LIEN ON ME 1 - 2000
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LIEN ON ME 1 - 2000
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Last modified
3/27/2017 2:45:27 PM
Creation date
3/28/2006 7:53:15 AM
Metadata
Fields
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 Comp..ny _._ .. ZURICH INSURANCF. CO. <br /> <br />This enaorsement modifies such inliurllnce as Is afforded by the provisions of Policy <br />. PAS 3 8 7 0 0 8 4 6 reletir,g to the foUowing: <br /> <br />1. The City of Santa Ana, 20 CIVic Center Plaza. Santll Ana, California <br />92701; its olficoerli. employe.., agentli. volunteers and repr~Bntativ.. are named as <br />additional inlured.. ("additional Insured..") with regard to liability and defel1l. of suits <br />arising from the ope.etion. and UIII- pel10nned by 0.- on beha1f of the named tnsunld. <br /> <br />2. With re'p~ct to claim. .ri5lng out of thlt operations and uses p8f1onned by <br />or on behalf of the named insured. luch inllolrance ., ja .fforded by thil policy is <br />primary and is not additional to or contributing with any other inaurlUlCII earned by or for <br />the benefit of the additional insureds. <br /> <br />3. This insurance applies separately to elld1lnllJl'ed ilgainlt whom clainl is <br />mllda or suit iabfought ellC8pl with respect to the companY'1 limit. of liablbty. The <br />inclusion of any person or organization all IIn inlurad ahall not affect any right which <br />IUch person or organization would have iii II claimant if not so included. <br /> <br />........ <br /> <br />4. With respect to the additional IIlI"red., thia In.uranC04t Ihllll not be <br />canoelllld, or malerially reduced in cOl/er. or Iimit5 ellcepl after thirty (30) day' written <br />nolial ha6 been given to !he CIty of Santa Ana, 20 Civic Center Plaza, SlInta Ana, <br />California 92701 <br /> <br />., <br /> <br />(Completion of the fOllowIng, including countersignature. is required to m~. !hill <br />endorMmsnl eflec"'oIe.) <br /> <br />Effeclive 8- 15 "112 ___- <br />POliCY' ~AS 2!,700B46 <br />Ili5ued to _.__ LIEN ON M~.. TNC <br /> <br />, this endorsement form.. . pert of <br /> <br />---- <br />Named IllIuntd <br /> <br />Countersigned by <br /> <br /> <br />........ <br /> <br />iled RepresentatiVe <br /> <br />. <br /> <br />'--' <br /> <br />APPROVED l\S TO FORM <br /> <br />~,~:1~7 <br /> <br />),_: t:-,' City Attorney <br /> <br />, <br /> <br />W 39\1d <br /> <br />nSNI A\1H 5 l\1INOlOJ <br /> <br />n90EL6 <br /> <br />0~:60 Z00Zl81/60 <br />
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