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Oct 21 04 <br />11:51a FITNESS and WELLNESS <br />SANTA ANA RISK MGMT. Fax:714-647-5311 I <br />8585190822 <br />Oct 14 2004 16:59 <br />A <br />p.3 <br />Insurance Company <br />This endorsement modifies such insurance as is a: <br /># <V L.�DI off -relating to the followin! <br />t 41- 0-Md �o6S <br />1 _ The City of Santa A.na, 20 Civic C <br />officers, employees, agents, volunteers and repres <br />("additional insureds") with regard to liability and <br />and uses performed by or on behalf ofthe named i <br />2. With respect to claims arising out <br />behalf of the named insured, such insurance as is <br />additional to or contributing with any other- insur, <br />additional insureds_ <br />�- This insurance applies separately to <br />suit is brought except with respect to the company' <br />Amon or organization as an insured shall not affec <br />would have as a claimant if not so included. <br />4. With respect to the additional in: <br />materially reduced in, coverage or limits except <br />given to the City of Santa Ana, 20 Civic Center <br />(Corupletion of the following, including <br />effective.) <br />Effective O= 111 lzw4 - pc2. 11I 11210S <br />Policy # WVL.-rat 2-69-7 -c;c> M9 i le <br />Issued to ZIZW-Cl�F 41.4+, A" 1097 <br />Named <br />Countersigned by <br />8 <br />A <br />by the provisions of policy <br />Plaza, Santa Ana, California 92701; its <br />ves are named as additional insureds <br />Ise of suits arising from the operations <br />the operations and uses performed by or on <br />Forded by this policy is primary and is not <br />;e carried by or for the benefit of the <br />saeh insured against whom claim is made or <br />limits of liability_ The inclusion of any <br />MY right which such person or organization <br />s, this insurance shall not be cancelled, or <br />tbsrty (30) days written notice has been <br />i. Santa Ana. California 92701. <br />is required to make this endorsement <br />this endorsement form as a part of <br />55 <br />Representative <br />