Laserfiche WebLink
iD- 3-05; 3:30P61; Paint Your Heart Out ;7i4 ?5F i3?8 # D <br />Ettdtttsement. No. 3 <br />ADDITIONAL INSLIItED - D~NA~D PERSON OR ORGANIZATION <br />I7' IS AGREED THAT TIIE FOLLOWING ARE ADDID AS ADDITIONAL INSURfiD (S) HEREUNDbR <br />BUT QNLY AS RESPECTS LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURfiD, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED <br />SHALL NOT SERVE TO INCREASfi THE COMPANY'S LIMIT OF LIABILITY AS SPECIFIED IN THE <br />DECLARATIONS OF TFtE POLICY. <br />SC1EiEDIILE <br />NADiED INb'UItED: PAtNr YOURHEART OUT, INC. <br />12W W. LiNCOLNAVENUE <br />ANgyEIM, CA 92E05 <br />NAME OF PERSON Ol't <br />OItGANI7.ATION/CF.It7TFtCATE HOLDER crty of sAxrA ANA <br />ATTN:FRANLCBERNANbFL <br />MANAGEMENT AA)E <br />20 CMC C.EN1'kR PI.A7A <br />SANTA ANA, CA 92901 <br />TAE C11Y OF SANTA ANA, r75 OFFICERS, AGENTS pND EMPLOYEES, <br />TII1S POLICY APPLIES FOR LJABII.r1Y ARISING OUT OP THE 1NSURED'S <br />OPERATIONS ON A DIRECT AND PRIMARY BASIS, AND INSURANCE <br />MA1NTAiNED BY SUCH ADDrIIONAL INSUAEDS>S EXCESS nND <br />NONCONTRIBUTING WrrH IRIS POLICY <br />PER CERTiPTCAT'ES OP INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH THE COMPANY <br />EFFECTIVE DA'I'S OF TFIIS ENDORSEMENT: 09/29ro5 <br />ATTACHED TO AND FORMING A PART OF t?OLICY NO.: <br />Alt other terms and conditiolu tanain luichallged. <br />Insurer: EVANSTONINSURANCECOMPANY <br />Special Liability Insurance Program (SLIP) <br />Effective September 29, 2005 to September 29, 2006 <br />DATE ISSUED: 10/3/05 <br />SLIP3000-05 <br />,,:y r.5 TO FOi?i:4. <br />,..~,.,.~~..,d._..._ ~~~p <br />