HomeMy WebLinkAboutAttachment 3_ Sample InsuranceName and Address of Contract Holder or
organization
Insurance Company or Broker
Name, Address, Phone, Fax
Date Issued
City of Diamond Bar
21810 Copley Drive
Diamond Bar, CA 91765
$2,000,000
Valid Dates
Name of Insurance Company
Sample Only
Also Needed is a separate
endorsement naming;
City of Diamond Bar, Its
officials, employees and
agents are additional Insured
$1,000,000