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JOHNSON FRANK & ASSOCIATES 3 - 2006
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JOHNSON FRANK & ASSOCIATES 3 - 2006
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Entry Properties
Last modified
1/3/2012 2:52:08 PM
Creation date
10/23/2006 11:42:16 AM
Metadata
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Template:
Contracts
Company Name
JOHNSON-FRANK & ASSOCIATES
Contract #
A-2006-271
Agency
PUBLIC WORKS
Council Approval Date
10/2/2006
Insurance Exp Date
12/1/2010
Destruction Year
0
Notes
workers's comp ins exp. 1-01-2010
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POLICY NUMBER: 6806825t.007 <br />Johnson-Frank & Associates, Inc. <br />11/30/2007 <br />COMMERCIAL AUTO <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Farm apply <br />unless modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds under the Who Is An <br />Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the <br />Coverage Form. <br />SCHEDULE <br />NAME F PERSON(S) OR D GANIZATI N(S): <br />City o Santa Ana, <br />Attn: Lee Martin <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insures!" for Liability Coverage, but only to <br />the extent that person or organization qualifies as an "insured" under the Who Is An Insured <br />Provision contained in Section II of the Coverage Form. <br />CA 20 48 02 99 yr lg' P, 1 311)8 <br />fie 1 of S
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