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SMALL, PETER M.
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SMALL, PETER M.
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Last modified
3/26/2024 2:34:30 PM
Creation date
6/22/2016 7:16:30 AM
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Contracts
Company Name
SMALL, PETER M.
Contract #
N-2016-084
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
7/4/2016
Insurance Exp Date
10/6/2016
Destruction Year
2021
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POLICY NUMBER: MP0012009000283 COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Additional Insured Person(s) Or Organization(s): I Location And Description Of Completed Ooerations <br />e City of Santa Ana, its officers, agents, employees and volunteers <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations <br />A. Section II — Who Is An Insured is <br />amended to include as an insured the <br />person(s) or organization(s) shown in the <br />Schedule, but only with respect to liability for <br />"bodily injury" or "property damage" caused, <br />in whole or in part, by "your work" at the <br />location designated and described in the <br />schedule of this endorsement performed for <br />that additional insured and included in the <br />"products -completed operations hazard". <br /><, <br />sANSOR \r <br />;�G <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 <br />
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