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<br />NOV 13 2003 11:17AM <br /> <br />HP LASERJET 3200 <br /> <br />p.2 <br /> <br />. <br /> <br />. <br /> <br />Policy Number: BK01237606 <br /> <br />~wner5bLessees or Contractors (Form B) <br />ADDITI NAL INSURED <br /> <br />Change(s) Effective: 10/31/03 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. This endorsement modifies insurance policy under the following: <br />LIABILITY COVERAGE PART: <br /> <br />Schedule <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />SECTION II - WHO IS AN INSURED is amended to include as an insured the <br />'Jerson or organization shown in the Schedule, but only with respect to liability <br />Jising out of "your work" for that insured by or for you. <br /> <br />City of Santa Ana, its officers, agents, volunteers and employees are <br />named as additional insured as respects general liability for claims <br />arising from the operations of the named insured. <br /> <br />PRIMARY INSURANCE: <br />IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY <br />AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED <br />SHALL BE EXCESS ONLY ~lD NOT CONTRIBUTING WITH THIS <br />INSURANCE. <br /> <br />SEVERABILITY OF INTEREST: <br />IT IS AGREED THAT EXCEPT WITH RESPECT TO THE LIMIT OF INSURÞ.J<CE, THIS <br />COVERAGE SHALL APPLY AS IF EACH ADDITIONAL INSURED WERE THE ONLY INSURED <br />AND SEPARATELY TO EACH INSURED AGAINST WHOM CLAIM IS MADE OR SUIT IS <br />BROUGlIT. <br /> <br />Ah-RO\l:ù N; <br /> <br />01 U i."Ci};:} <br /> <br />~-_. -¡-_l:/-Z_---' <br />" .. "',-"",..--\-.' <br />t.;"Ùl ~!.\:-'_J.) <br />D<.;i~',;ty City At~::,ri1~~Y <br /> <br />v <br /> <br />CUBF 2240 03 95 <br />