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<br />DEC-16-2004 15:29 <br />l!l:iV! JUI ,"UJ't/ ILll,; lJ.Vf <br /> <br />MASK SYSTEMS INC. <br />"''-'1'''1111 C< \'Ulllpo\11Y <br /> <br />flU I~Q, OU~~OI UIOJ <br /> <br />805 532 2332 P.03 <br />r. UU I <br /> <br />i I <br />ADDITIONAL' INSURt:D ~NDORSEMENT I <br />I I <br />. I, <br />Insurance Company F~ <E' ({ilL /J/ J'{f I'll ;Jc.e r d <br /> <br /> <br />This 'endorsement modifies such insurance as is afforded by ~e Ptl , J: of Policy <br />1# 3 ~:J:? - fJ f d,2 rel.ating to the foilowing: ", <br /> <br />. " <br />1. The City of Santa Ana. 20 Civic Centsr Pta~, Sa fa Ana. Oalifornia <br />92701; its ofrlC9rs. employees, ag..nlS. volunteers and 'representa~ive are named as , <br />additiolJaI insureds ("additiOl,al insureds.) with reg,ard to liabilIty a~ eiense of suits <br />;lrising from the operation:;; and uses perlbrmed by or on behalf oftlr n, ad Insured. <br /> <br />. 2. . With respe<;t to Claims ari~ out of tile ope~o~ llflQ usb performed by <br />or on behalf of 1t1e named insured, sw:h inlOurance as is afford~ ~y this policy ill <br />primary ;Ind is not additionaf to Of contributing lIIilJ1 any other insurance ,carried by Of for <br />the benefit of th6 addllional insureds. ' ' . i <br /> <br />3: This insurance applies separately to each. insur'Qd a9 'i... whom claim is . <br />made or suit is brought e;ec;ept with respect to the company'g limO liabirrty. The <br />iT1Clusion of any person or organization as an in,sured shall oot , any right which <br /> <br />su~ p:~n ::~::::n:o:d8h::;:::d~~::~~O:: i~:~ E:l shall "~ be, <br /> <br />cancelleel, or materially reduced in coversge or limits except after thirty i30) days written <br />notice has been given to the City csf . Santa Ana. 20 Civic Cente~ PI;;'~. Santa A.na, <br />Catifornia 92701, <br /> <br />(Completion of the following, including countersignsture. Is <br />endo,.s;.ment effedive.) <br /> <br />to rflslle this <br /> <br />Effective I ~ II f' /d ~. <br />Poficy# :J !:.?!J- P !N':;? . <br /> <br />. this endorse <br /> <br /> <br />nl rrm as a part of <br /> <br />i <br /> <br />l$sued to <br /> <br />III IU.K. <br /> <br />J'YJ'T67n.J' /)}(!,t <br />Named Insured I j <br /> <br />2..u~ <br /> <br />Authorized R resentatlve <br />I <br />I <br /> <br />I <br />I <br />i <br />I <br />, <br />i <br />I <br />I <br />I I <br /> <br />Countllrsigl\ed by <br /> <br />;Yfi!B 2/e' <br /> <br />TOTAL P.03 <br /> <br />