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~0= 3-C5; 3:8CPM; Paint Your Heart Out f714 758 13?8 # 3~ 5 <br />Endorsement. No. 3 <br />ADDiTTONAi. INSIJRI:D -DESIGNATED PERSON OR ORGANIZATION <br />IT IS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF. THE OPERATIONS OF THE NAMED <br />-NSURED,-AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDlT1pNAL INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABILITY AS SPECIFIED IN THE <br />DECLARATIONS OF THC POLICY. <br />SCHEDULE <br />NAMED ENSURED: PAINT YUI1R HEART OUT, INC. <br />1209 W,LTNCOT.N AVENUE <br />ANAHEIM, CA 92805 <br />NAME OF PERSON OR <br />ORGANIZATION/CERTiFiCATE HOLDER: crrY OF SAN"l'A ANA <br />ATTN: FRANK iIERNANDF7 <br />MANAGF.MF.NT ATDF, <br />20 CMC CENTER PLALA <br />SANTA ANA, CA 9270 ] <br />T11E CITY OF SANTA ANA, 7TS OFFICERS, AG£N1"S AND EMPLOYEPC, <br />THfS VOT,iCY APPLIES FOIL L1AB1Ll'lY ARISING OUT OF THE. INSURED'S <br />OPERAIIUNS UN A DIRECT AND PRIMARY BASi$, AND 1NSUItANCE <br />MAQJ'CAINED IIY SUCH ADDITIONAL INSUREDS 1S EXCESS AND <br />NONCONTRIRITI'ING WITH THIS POLICY <br />PFR CP.RTIFICATL• S OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH THE CUMPANY <br />EFFF,CTiVF, DATE OF THIS ENDORSEMENT: 09/29/04 <br />ATTACHED TO AND FORMING A PART OF POLICY NO.: 622078458 <br />All othzr terms and conditions remain unchanged. <br />Insurer: ILLINOIS UNION INSURANCE COMPANY <br />Special Liability Insurance Program (SLIP) <br />EIT'ective September 29, 2004 to September 29, 2005 <br />DATE ISSUED: l0/3/05 <br />. , .., i'L3 t.t?h;vl <br />`... G/? <br />