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• <br /> This endorsement forms a part of the Contract of Pooled Self Insurance to which it <br /> is attached, effective on the inception date of the Contract of Pooled Self <br /> Insurance unless otherwise stated herein. <br /> Endorsement effective July 1, 1996 Endorsement No. BR-10 <br /> CONTRACT OF POOLED SELF INSURANCE NO. OCC0010 <br /> Named Insured: ORANGE COUNTY CITIES RISK MANAGEM AUTHORITY <br /> Q J <br /> Countersigned <br /> ( uthoriz Representative) <br /> CITY OF BREA <br /> This endorsement modified such insurance as is afforded by the provisions <br /> of the Contract of Pooled. Self Insurance relating to the following: <br /> MUNICIPAL LIABILITY <br /> As authorized by California Government Code <br /> Section 990.4 (a) , 990.8 (c) and 991.2. <br /> ADDITIONAL INSURED <br /> (Owners or Lessees) <br /> It is agreed that : <br /> 1. The "Persons Insured" provision is amended to include as an insured the <br /> person or organization named below but only with respect to liability <br /> arising out of operations performed for such insured by or on behalf of the <br /> named insured. <br /> 2. The applicable limit of the Authority's liability for the insurance afforded <br /> under the Contractual Liability Insurance Coverage Part forming a part of <br /> this policy shall be reduced by any amount paid as damages under this <br /> endorsement on behalf of the person or organization named below. <br /> SCHEDULE <br /> Name of Person or Organization - <br /> (Additional Insured) As Respects <br /> COUNTYWIDE PUBLIC FINANCING LEASE AGREEMENT DATED AS OF JULY <br /> AUTHORITY AND THEIR RESPECTIVE 1, 1996 ON BREA FIRE STATION #3 <br /> MEMBERS, OFFICERS, EMPLOYEES AND LOCATED AT 400 N. KRAEMER BLVD. , <br /> ASSIGNS BREA, CA. <br /> ATTN: EXECUTIVE DIRECTOR <br /> 20 CIVIC CENTER PLAZA <br /> SANTA ANA, CA 92701 <br />