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<br />10/26/2004 TUE 10:52 FAX 714+565 4020 CITY OF SANTA ANA ~~~ ~J~~~~;¿~~;; <br />u..i-~pc:1Qll; 'i ~J.;'1t; "''''UI' ;r-t;.LJJ.1,:8U l..t;.:;.~Nt:lt;.r< o(' ¡;:{IQ C;)J. tI,l.I::::r <br /> <br />COMMERCIAL AUTO <br /> <br />THIS ENDORSEMENT CHANGES THE POLlCY. PL~ASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED <br /> <br />This endorsement modifies insur:mce provided under the foHowing: <br /> <br />BUSINESS AUTO COVERAGE FORM <br /> <br />Paragraph c. of the WHO IS AN INSu:R..ED provision inc1ude..'I the person or organiz2;tion <br />indicated be]ow, bUt only for his, ha or itS liability because of acts or omissions of an <br />"insuTl~d" under parngraphs a. or b. of that provision, subject to the followiDg additional <br />proviS;OÐS; <br /> <br />1, No liabilir:y is assumed by that person or organization for the payment of any <br />premiums stated in the polioy or eamed under the policy, <br /> <br />2. In the event of cancellation of the policy, written notice of cancella.tion will be maned <br />by us to that persol'l or organjza'åon. <br /> <br />3. Any coverage provided by this endorsement to an addjtionB.I io.sured shalt be excess <br />over 3J1Y other vaJid and çollectib]c insurance available to the adddional iDSlU'ed whether <br />primary, ex.cess, t".Ontingent or on any other hasis unle$s a written contnct or written <br />agreement signed and executed by you prior to the loss forwhi¡;;b coverage is sought <br />specifically requires that this insurance apply OD a primary or non-contcibu.tory basis. <br />When this insurance is primary, and there is other in.surance available to the additional <br />insuted ftom any source. we Mil share with Ihat other insuratlcc by the O'Iethod described <br />in dùs policy. <br /> <br />P~on or Organization: <br /> <br />Any person or OtgæJÌZltidn you are tequ!rcli to incJude as an :adclirion:a1 insured 00 rhìs policy by a written <br />contncr fit. written 3greernent sipcd aDd cXCQ¡ted by you prior to the toss íor wblcb coverage Í5 sought. <br /> <br />API'ROVED AS TO FORM <br /> <br /> <br />CG TR XX 1() 02 <br /> <br />CopyrighT, "lÃc Î..favclers IlIdmmity CDmpany, 2002 <br /> <br />P;¡se 1 of 1 <br /> <br />141006/006 <br /> <br />I"'.o'b <br />