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HERNANDEZ ANTUNEZ, ANDRES
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Last modified
9/10/2025 3:33:26 PM
Creation date
9/10/2025 3:33:13 PM
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Contracts
Company Name
HERNANDEZ ANTUNEZ, ANDRES
Contract #
N-2025-231
Agency
Parks, Recreation, & Community Services
Expiration Date
9/30/2027
Insurance Exp Date
8/28/2026
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Hiscox Insurance Company Inc. <br /> HISCQ�C <br /> encourage courage- <br /> Endorsement 27 <br /> NAMED INSURED: Andres Hernandez DBA Organizacion Osos de California Banda de Guerra <br /> Additional Insured Endorsement(Designated Person or Organization) Page 1 of 1 <br /> In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, <br /> and exclusions unchanged, it is agreed the General Liability Coverage Part is amended as follows: <br /> SCHEDULE <br /> Name of Person(s) or Organ ization(s): <br /> City of Santa Ana, Risk.Management Division 20 Civic Center Plaza, Santa Ana, CA,92702 Management Division <br /> I. The following is added to the end of Section ill.Who is an insured: <br /> DP-A. Designated person or Any person(s)or organization(s)shown in the Schedule above will be added to this <br /> organization Coverage Part as an additional insured, but only with respect to their liability for bodily <br /> injury, property damage, or personal and advertising injury arising out of: <br /> 1. your acts or omissions; <br /> 2. the acts or omissions of those acting on your behalf in the performance of your <br /> ongoing operations; or <br /> 3. in connection with premises owned by or rented to you. <br /> However,the coverage afforded to such additional insured(s): <br /> a. applies only to the extent permitted by law; and <br /> b. will not be broader than you are required by contract or agreement to provide for <br /> such additional insured(s). <br /> If coverage provided to the additional insured(s)listed in the Schedule above is <br /> required by a contract or agreement,the most we will pay on behalf of any such <br /> additional insured is the amount of insurance: <br /> i. required by such contract or agreement; or <br /> ii. available under the applicable limits stated in the Declarations,whichever is less. <br /> II. This Endorsement will not increase the applicable limits stated in the Declarations. <br /> Endorsement Effective: August 28, 2025 Policy No.: P103.826.022.2 <br /> By: Mary Boyd <br /> (Appointed Representative) <br /> BOP-GL E5003 CW(11/19) <br /> Includes copyrighted material of Insurance <br /> Services Office, Inc.with its permission <br />
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