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FROM :TALIER SRN JOSE <br />.AOJI4/20o6 16:06 VAS 714 147 7688 <br />FWA <br />FAX NO. :714 543-032 Sep. 15 2005 08:56AM� 0 <br />SJHS RISK MANAGTiIfk'NT <br />ADDITIONAL WSURZU ENDORSYMENT <br />POA COMiN MIAL GENERAL LIABILI'CY POLICY <br />Insurance Compeny-. "+a2du UAW C�yad <br />This ondonament modiflp sack insurance u Is afforded by the provMfts of Policy # <br />UD CCiL..05-01.021(-j46Q1-OQASI P"ne to the following: <br />I. The City of Sans Ana, 20 Civic Canter Plaza, Seats Amu, CaEfrrrnis 92701; its <br />aMoore amptoyeao, agents, volunteers mod repeeaaltatives era named as additional <br />bt w%U C`eddid" im me ill With regard to liability and defame of ants atiwag from <br />tee oprratiooa stud wee performed by or on b*A f of the named insured. <br />2. With tampect to claims arising out of the opmstiom and Uses performed by of on <br />behalf of the named insured, such inwrance as is afforded by dhis policy is pdm*y and i6 <br />not additiorel to or contributing with any other brnrsoce carried by or for tis benefit of <br />if" addidollal inaunda. <br />3. TEis insurance applim separately to each insured against whom Alaim is made or suit <br />Is brougbt mreept widi respect to the company's limits of liability. The inehslou of any <br />Person or efganixador w an inamw shall not enact any right which such person or <br />U organization would have as a dairesta if sot so included. <br />4. Wide reepect to the additional i sweds, this insurance ats0 not be canceled, or <br />mataritdly radumd in coverage or limits "cap alta Bdrty (30) days written notice has <br />bean given to the City of Soros Ate, 20 GSvic Center Plaza, gap Acts. Califar i 92701. <br />(Cgmplerieb of tbo foliowiag, inc]rding duo, In repired to make this <br />endoraemanr dko ive.) <br />Erd'nraoment A3 <br />Effacdva 20MMAMO& this aodortement form so a part of <br />Policy # U-CQ"5-01-021 (1.1 <br />Issued to St ,low Hoakh gra , <br />Natured Insured <br />Ccuntenlgtted by <br />Authaaized Representative <br />