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First Specialty Insurance Corporation <br />ENDORSEMENT <br />` This Endorsement Changes the Policy — Please Read it Carefully <br />PRINIARY AND NON-CONTRIBL'TLNG INSURANCE <br />(Third -Party) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />OWNERS AVD CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />RAILROAD PROTECTIVE LIABILITY COVERAGE PART <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />Section IV: Commercial General Liability Conditions, Paragraph 4, and all subparts thereof, as contained in the <br />policy is deleted in its entirely and replaced with the following condition as respects the Third Party shown below: <br />Section IV: Commercial General Liability Conditions <br />4.- Other Insurance: <br />(a) With respect to th,: Third Parry shown below, the insurance provided by this policy shall be primary and <br />non-conributing insurance. Any and all other valid and collectible insurance available to such Third <br />Party in respect of work performed by you under written contractual agreements with said Third Party for <br />a loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing <br />insurance. Rather, any such other insurance shall be considered excess over and above the insurance <br />provided by this policy. ' <br />The Third Party to whom this endorsement applies is: <br />City of Santa Ana, 20 Civic Center Pfau. Santa Ana, CA 9270:, its officers, employees. agents, volunteers & <br />representativcs <br />RE: Emergency Sewer Repairs and/or Water Repairs for and in the City of Santa Arta <br />Absence of a specifically named Third Party above means that the provisions of this endorsement apply "as <br />required by written conu:acrual agreement with any Third Party for whom you are performing work.' <br />All other terms and conditions of this policy remain unchanged. <br />Tnis atdors--ment is effectile on thrinception date of the policy unless otherwise stated herein. (The information <br />below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Policy Number: IRG6205< <br />Name: Insured: Pauius En<_ineering. Inc. <br />Endorsement Effcctive Date: 05/01 /04. <br />Endorsement Serial No. FSIC-335;3 (07t98) <br />Inciodet. copynpied ma:eria! cf lnsunnce Services Offrce. Irti, with its permission <br />Copvn_M. Insurance Services Ofdcc. im '.9e4 <br />APPROVI D AS TO FORM <br />L ura SLu nncady <br />4ssis[dnt City Attorney <br />