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LIEN ON ME 2 - 2006
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LIEN ON ME 2 - 2006
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Last modified
11/8/2017 10:20:57 AM
Creation date
5/26/2006 12:26:06 PM
Metadata
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Template:
Contracts
Company Name
Lien On Me
Contract #
A-2006-112
Agency
Personnel Services
Council Approval Date
5/1/2006
Insurance Exp Date
8/15/2018
Notes
Workers' Comp expires 06/01/09
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POLICYNUMBER: 72 SBA AG7645 <br />Fl <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED - PERSON -ORGANIZATION <br />THE CITY OF SANTA ANA, <br />ATTN: SAMANTHA LAMBERT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92.701 <br />ITS AGENTS, OFFICERS AND EMPLOYEES <br />(M-41) <br />Form IH 1200 11 85 T SEQ. NO. 002 Printed in U.S,A. Page 001 (CONTINUED ON NEXT PAGE) <br />Process bate: 09/26/14 Expiration Date: 08/15/15 <br />11 <br />
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