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06/06!2005 15:06 7148501299 Gscoc <br />JUN -06-2005 MON 02'58 PM MANION BELL INSURANCE FAX N0, 213 389 5833 <br />"NLORD ENDORSEMENT - ADDITIONAL PROTECTED PERSONS <br />This endorsement changes your Commercial General Usloility Protection <br />Girl scouts of orange county <br />1620 Adams ave. <br />Costa Mesa, CA 92676 Policy 099 CKO-480.5000 TERM: 1/1/05.1/1/06 <br />HOW COVERAGE M CHANCED <br />The foliowing IS added to the Other <br />Primary Insurance section. This <br />change broadens Coverage. <br />We won't consider any other <br />insurance for the person or <br />organization shown below to <br />be other primary insurance. <br />OTHER TERMS <br />All other terms of your polio <br />remain the same- <br />A001111IONALINSURED <br />City of Santa Ana - Parks and Recreation, <br />Community Services Agency and Corbin Center <br />Attn: Executive oirector oT the Parks Recreation <br />and Community Services Agienryr <br />P.O. sox 1888 M-23 <br />888 W. Santa Ana Blvd, 2nd Floor <br />Santa Ana, CA 92701 <br />8P 142 Ed. 1.99 Prinled U.S.A. Endorsement <br />St, Paul Fire and Marine Insurann Co. 1996 All Rlghta Reserrad Page 1 of 1 <br />APPROVLu r%S "t'0 FORM <br />U`tur"i Stitt Shccdq <br />Ass iSLIIII Citv AtwMoa <br />PAGE 03/03 <br />P. 03 <br />