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LARRY WALKER ASSOCIATES 1A
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LARRY WALKER ASSOCIATES 1A
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Entry Properties
Last modified
6/8/2017 2:28:59 PM
Creation date
11/3/2016 3:29:52 PM
Metadata
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Template:
Contracts
Company Name
LARRY WALKER ASSOCIATES
Contract #
A-2015-205-01
Agency
PUBLIC WORKS
Expiration Date
8/31/2017
Insurance Exp Date
4/1/2018
Destruction Year
0
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POLICY NUMBER: eA3c999002 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <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 Form apply unless modified <br />by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of <br />the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form, <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Endorsement effective <br />04/01/2016 <br />Named Insured <br />Larry Walker Associates, <br />Countersigned by <br />Ina <br />SCHEDULE <br />Name of Person(s) or Organization(s): <br />(Authorized Representative) <br />NAME OF PERSON OR ORGANIZATION CONTINUATION:The City of Santa Ana, its officers, employees, agents, and representatives <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to the endorsement.) <br />Each person or organization shown In the Schedule is an "insured" for Liability Coverage, but only to the extent that <br />person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the <br />Coverage Form. <br />CA 20 48 02 99 <br />Copyright, Insurance Services <br />Inc., <br />Page 1 of 1 <br />REVIEWED 6Y: b17,1, (f}' /I _EUNICE HEREDIA rPGL1OFS_) <br />
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