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<br />~POM : STRTE FRRM INS. <br /> <br />MIKE ~1 ILLER <br /> <br />PHONE NO. : 349 481 1032 <br /> <br />Ma~. 14 2004 03:20RM P3 <br /> <br />DF <br /> <br />. <br />Policy No. 92-86-8207-2 <br /> <br />Fe:.S320 <br />(7131)1 <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />DESIGNATED PREMISES ONLY <br /> <br />';I; <br /> <br />IP""'U~("\. <br /> <br />Policy No.: 92-S6-B207-2 <br /> <br />Named Insured: <br /> <br />QUINN, SUSAN & GERALD <br /> <br />Name of Additionallnsur.d: <br /> <br />THE CITY OF SAN'!'A ANA <br />ITS O~FICERS, EMPLOYEES, <br />AGEN~S ~ VOLUNTEERS <br /> <br />Address of Additional Insured: ATTN: JIM STIKELEATHER <br />:lU L:.I.V.l.l; l;J:.N.I./;U'. p¡,z; <br />S~~TA ANA CA 92701-4010 <br /> <br />A,\(, /1 /-47-§8L/-J <br />'7/"'1' .; l/ <br /> <br />Interest of Additional Insured ; <br /> <br />CONTRACTOR OF SERVICES - NON-CONSTRUCTION <br /> <br />Location of Premises: <br /> <br />24b VIA PRESA <br />SAN CLSM~NTE CA ~2672-9461 <br /> <br />The word "insured", wherever used in this poJicy, also inc.ludes the designated person or organization named <br />above as Additional Insured under the provisions of the policy SeGtions shown below as applicable by an "X" to <br />the extent indicated. <br /> <br />0 <br />0 <br /> <br />SECTION I. <br /> <br />SECTION I. <br /> <br />This applies only to COVERAGE A - BUILDINGS. <br />This applies only to COVERAGE B - BUSINESS PERSONAL PROPERTY <br /> <br />Desçription of Property: <br /> <br />IX] <br /> <br />SECTION II. <br /> <br />This applies only to COVERAGE L - BUSINESS LIABILlTV and COVERAGE M . <br />MEDICAL PAYMENTS and then only with respect to the ownershìp, maintenance or use of <br />the premises designated above and operations necessary or incidental thereto These <br />SECTION II coverages do not apply to: <br /> <br />1. <br /> <br />structural alterations or new construction performed by or on behalf of the designated person or <br />organization; <br /> <br />2. <br /> <br />personal injury caused by the designated person or organization; <br /> <br />3. <br /> <br />liability the designated person or organization assumed under a contract; or <br /> <br />4. <br /> <br />products-CQmpleted operations hazard arising out of goods Or inventory which are not sold or <br />di3tributod by you or ari3ing out of tho manufacturing or pocl~agil1g of ouch good3 or inventory. <br /> <br />All other provisions of the policy apply <br /> <br />F E.fS320 <br />(rl8e) <br /> <br />}Ie¿ 'j/ <br /> <br />~() <br /> <br />Primed In U.S.A. <br />