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<br />DEC-16-2004 15:29 <br />~.wIJIJVJ"UJ't/IU\'; LJ.Vf <br /> <br />805 532 2332 P.03 <br />r/\.\ nv. OU~~OI UIOl r. UUI <br />\ [ <br />ADDITIONAL INSURt;D (;:NDORSEMENT I <br />I I <br />. I, <br />Insurance Company F~;;;:; t?/lL I}} J'(j fl-/I ~CJ;- Cd. <br />. . I L <br /> <br />This 'endorsement modifies /Such insurance as is afforded b~ ~e t1 , YisionB 01 F'oli~ <br /># :; ::;-:; 7 ~ Ii f d2 f01.atin9 te tile foilowing: '.', <br /> <br />. " <br />1. The City of Santa Ana. 20 Civic Cen1l:lr Piau, Sa fa Ana. C;a1ifomia <br />92701; its oft"IC9l"$. emploYees. agents, VOlurrteBrs andrepresenta\iV are named as . <br />additioflal insureds ("addil,iOl,al insureds.) with regard. to liability ~ eiensB of suits <br />;losing from the operaliom; and uses perlbrmed by or on behalf of tT n. ad Insured. <br /> <br />, 2., With raspl;K;t to Claims ari~ out of the ope~~ :jlncj usb performed by <br />or on behalf Of 1t1e named insured, suE:h insurance as is afford~ ~y this policy is <br />primary ;Ind is not additionaf to Of contributing \11I1111 any other insurance joarriGd by or for <br />the benefit of the additional insureds. . ' . i <br /> <br />MASK SYSTEMS INC. <br />.....llUr" 1111 (); 'vumpi::my <br /> <br />3: Thi,s insuranca appliBs separately to each, il'lGurad a9 'jll whom claim is ' <br />made or suit is brought e;eoopt with respect to the compallY's lim' liabirrty. The <br />i"dlJsion of any person or organization 8S an il\sured shall not , any right wtlich <br />such pe~n or organization would have as a daimantif not so indu Ed~ ' <br />. ' <br />4. With respect to the additional i"sUredS, this insu n shalr not be. <br />cancelled, or materially reduced in coverage or limits except afterthirty 30) days written <br />notice has been given to the City !If .Sant3 AIla. 20 Civic center Plaza, Santa Ana. <br />Caljfomia 92701. <br /> <br />. this endorse <br /> <br /> <br />to ",a1l9 this <br /> <br />(Completion o.f the following, including COl.lntersigmrture, Is <br />endorsement effectiv".) <br /> <br />Effective , / f).1/~/d ~. <br />Poflcy# :J !;,]:J- PIN.:? . i <br />Issued to /TlfJl.K ..rYJ'1"6Jl),J' /)/e,1 <br />Named Il'\Sured I i <br /> <br />B--u~ <br />Authorized R. rSsentiltlve <br />I <br />I <br /> <br />I <br />I <br />i <br />, <br />, <br />i <br />I <br />I <br />I ! <br /> <br />rm as a part of <br /> <br />Countersigl'lllO by <br /> <br />;4i!i3 2/ C <br /> <br />TOTAL P.03 <br />