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<br />This endorsement, effective 12:01 AM, March 1,2005 <br />t <br />forms a part of Policy No: PROP 1956860 <br /> <br />,ssued to: TRI SPAN INC <br /> <br />by: AMERICAN INTERNATIONAL SPECIAL TV LINES INS. CO. <br />, <br />~ <br />f <br />I <br />, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />I: <br /> <br />.~ <br /> <br />, <br />t <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />COVERAGE A. BAND C <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY AND PROFESSIONAL LIABILITY POLICY <br /> <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />AS REQUIRED BY WRITTEN CONTRACT <br />. <br />~ <br />'(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />;as applicable to this endorsement) <br />J <br /> <br />')t is hereby agreed that Section 1/ of the policy, WHO IS AN INSURED is amended to include as an insured the person or <br />.organization shown in the schedule above as respects insuring Agreements A, Band C, but only with respect tQ liability <br />;!lrising Qut of your ongoing operations performed by YQU or on your behalf for that insured. Coverage is not afforded fQr <br />re addiliQnal insured's own liability, which arises solely out of its acts or omissions. <br /> <br />The entities scheduled above are covered under this Policy only for limits of liability up to but not exceeding the amount <br />,required by the written contract with the insured and subject tQ the limits of liability of this PQlicy. <br /> <br />APPROVLlJ AS TO FOe'- <br /> <br />.i!'-~_?L~. .. <br /> <br />L.Wf<J ~l;\I SL~.:,;.'" <br />A',;"l:>l,U; t:.l', <br /> <br />Received By <br />City of Santa Ana <br /> <br />JUN 28 2005 <br /> <br />Downtown Development <br />Division <br /> <br />(\11 other terms, conditions, and exclusiQns shall remain the same. <br /> <br />ii' <br />, <br />~ <br /> <br />~-<..... .. <br />AUTI-JORIZED REPRESENTATIVlii <br />Or Countorslgnature (in statea where applicable) <br /> <br />78025 (5/01) <br />CI1456 <br /> <br />PAGE 1 OF 1 <br />