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Ocit 21 04 11:51a FITNESS and WELLNESS <br />SANTA ANA RISK MGMT. Fax:714-647-5311 I <br />8585190822 <br />Oct 14 2004 16:59 <br />• jJ <br />p.3 <br />Insurance Company <br />This endorsement modifies such insurance as is al <br />7cV L �i01 °dating to the followinE <br />306� <br />1. The City of Santa Ana, 20 Civic Cc <br />Officers, employees, agents, volunteers and repress <br />("additional insureds") with regard to liability and <br />and uses performed by or on behalf of the 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 />3. This insurance applies separately to <br />suit is brought except with respect to the company,. <br />Person 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 />(Completion of the following, including <br />effective_) <br />Effective OC[: 11 j Uw4 " tc . u ?� <br />Policy # le <br />Issued to 1U2F -p+. -tf E,,-"W <br />Named <br />Countersigned by <br />8 <br />A <br />by the provisions of Policy <br />Plaza, Santana, California 92701; its <br />i,A <br />ves are named as additional insureds <br />use 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 />=h insured agpinst whom claim is made or <br />limits of liability_ The inclusion of any <br />any right which such person or organization <br />s, this insurance shall not be cancelled, or <br />rty 0 a0) days written notice has been <br />a, Santa .Ana, California 92701 _ <br />is required to make this endorsement <br />this endorsement form as a part of <br />r --0 / ` <br />Representative <br />