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<br />Policy Number: BK01461996 <br /> <br />Owners}...Lessees or Contractors (Form B) <br />ADDITluNAL INSURED <br /> <br />Change(s) Effective: 10/27/2004 <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 />Attn: Danell Mercado <br />Downtown Development Division <br />305 E. Fourth Street, S#201 <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 />The City of Santa Ana, its officers, agents, volunteers and employees <br />are additional 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 />{"..," <br /> <br />'~'CilW <br /> <br />~fl.?c- <br /> <br />" ":"c:; .\' '-. ry : <br /> <br />CUBF 22 40 03 95 <br /> <br />