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<br />~ <br /> <br />APR 11 2005 1:42PM <br /> <br />HP LASERJET 3200 <br /> <br />p.3 <br /> <br />Policy Number: BK01237606 <br /> <br />''-../ <br /> <br />Owners).,.Lessees or Contractors (Form B) <br />ADDITlvNAL INSURED <br /> <br />Change(s) Effective: 11/01/04 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. This endorsement modifies insurance policy under the following: <br /> <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 />person or organization shown in the Schedule, but only with respect to liability <br />arising out of 'your work" for that insured by or for you. <br /> <br />J <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 AND NOT CONTRIBUTING WITH THIS <br />INSURANCE. <br /> <br />SEVERABILITY OF INTEREST: <br />IT IS AGREED THAT EXCEPT WITH RESPECT TO THE LIMIT OF INSURANCE, 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 />BROUGHT. <br /> <br />J <br /> <br />CUBF 22 40 03 95 <br /> <br />i\PPROVEl) AS 'T'O <br />." FORM <br />/'c ' <br />B;[;~. if; ,'/i/.< <br />Laura Slit hccdy <br />Assistant C. <br />lty Attorney. <br />