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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
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 />. <br /> <br />. <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance Compan)f> The Hartford <br /> <br />This endorsement modifiC$ snch insurance as is afforded by the provisions of policy <br /># 72 SBAAG7645 relating to the following: <br /> <br />1. The City of Santa Ana, 20 Civic Center PlllZa. Santa Ana. California <br />182701: its officers, employees, agents, volunteers and representatives are named as <br />additional insureds ("additional insureds") with regards to liability and defense of <br />snits arising from the operations and uses performed by or behalf of the named <br />insured. <br /> <br />2. Witb respect to claims arising out of the operations and uses performed <br />by or on behalf of the named insured. such insurance as is afforded by tbis policy is <br />primary and is not additional to or contributing with any other insurance arried by <br />or for the behalf of the additional insured. <br /> <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to the company's limits of liability. The <br />inclnsion of any person or organization as an insured shall not affect any right <br />which such person or o!'gaoization wonld have as a claimant if not so inclnded. <br /> <br />4. Witb respect to the additional insureds, this insurance shall not be <br />cancelled. or materially reduced in coverage or limits except after thirty (30) days <br />written ootice has been given to the City of Santa Ana, 20 Civic Center Pla~, Santa <br />Ana California 92701. <br /> <br />(Completion ofthe following, including countersignature, is required to make tbis <br />endorsement effective.) <br /> <br />Effective <br /> <br />OR/1 "/700" <br /> <br />. tbis endorsement form as part of <br /> <br />Policy# ~2SBAAG764" <br /> <br />Issued to <br /> <br />Lien 00 Me, Ine. <br /> <br />Named Insured <br /> <br /> <br />",r)J)\/ t:.U f',S l'i) ,i- ~f.. > :v: <br /> <br />Ik'~-. /< <br />I<:"~':)',.:,~ .7-~'~--~-~-~- <br /> <br />;!V /\ 1 <br />
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