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25D - AGMT - WIA YOUTH PROGRAM FUND 13-14
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25D - AGMT - WIA YOUTH PROGRAM FUND 13-14
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Last modified
7/22/2016 9:03:28 AM
Creation date
5/30/2013 4:14:55 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25D
Date
6/3/2013
Destruction Year
2018
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PI- MANU -1 (01100) <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY <br />Primary wording - City of Santa Ana <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name Of Person or Organization: City of Santa Ana <br />(If no entry appears above, information required to complete this <br />endorsement will be shovin in the Declarations as applicable to this <br />endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the <br />person or organization shown in the Schedule as an insured but only with <br />respect to liability arising out of your operations or premises owned by or <br />rented to you. <br />THIS INSURANCE IS PRIMARY AND NOT CONTRIBUTING WITH ANY OTHER INSURANCE OR <br />SELF - INSURANCE CONTRACT OR POLICY, <br />All other terms and conditions of this Poky remain unchanged. <br />Page 1 of 1 <br />nyu, <br />APPRO ED AS TO FORTd <br />i.lSA E. STORCK <br />Assistant City Attorney <br />f3 <br />
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