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Endersement <br />Thu mdotysmn:t, @&t;dva 12:01 AM 2I14I04 <br />per=0 of policy no.: 0453280 <br />Laub r, Laiglnon Graup lee, L4*ten C Pulttng lne, LeighNn & Anooign [no, Gradient Bntirlam <br />be. mil Teratest Labe Inc. <br />By-LeRingtoelmtanttce Company (AM Best Rating..... A++XV) <br />ADDITIONAL INSURED OWNERS, LESSEES OR <br />COIYTRACPOtte (FORM H) <br />This ondamement modifies ineurmoo provided under the fallowing! <br />COMMERCIAL CIENHRAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Nsmo of Person or Orgmizatlon: <br />The City of Santa An4 20 Civio CentVPlaa, Santa Ana, CeHfltrnia 92701 it's officers, nnployeea. atents, <br />volunteers and reprraematives <br />RE: All City Wide Prgjeft <br />(LEWD ottiry appears above, infbrrmlon required to complete this endorsement will be shown in the <br />Ceclsmices as applicable to this endoreoment.) <br />.WHO IS AN INSURED (Section 11) is smmdcd to include as an insured tho Gerson or organization shown <br />In the Sehadutd, but only with respect to Babllity arising out of "Your wark" for that ine4rod by or for you. <br />IT 10 AOR9ID TH&T THIS POLICY 5 PRO"Y AS RR9nm ANY INavRANCE MAINIAmEa BY THE ADI)MONAL <br />1N01JNO AND THAT SUM NBUAANCI MAMTAN60 SYTHI ADDITIONAL rxatl= I9 9WM AND Nor!. <br />ftISAOR WINATTHErNSlR1ANCECO?8ANYSHALLAFFORDORPROVIDBTHIRTY(30)DAYSwasTf9N <br />NOTICE OF CANCiUATION TO THEINSLM IN TIM VYW OF CANCIII.IATION OR MA72RIAL Rmr WON IN <br />OOVERAOE <br />AU001aditairimmtsdiwer <br />CamRniry an (in naln where "Umble) <br />LXG869 01l95) <br />bXaaa9 <br />90'd SS:6 b00Z 9 .Jdy S£9S-1b9—biz:XlPJ '33J G?i 9N3 — d S AM <br />