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BOLTON & COMPANY ff Yi VG" <br />PO BOX 6030 ~"~'~- <br />PASADENA, CA 91102 ooozss ~"'°""""`"°"""~Afd~ <br />Policy number: 03312696-1 <br />Underwritten by: <br />United Fioanaal Casualty Company <br />Insured: FIELD DATA SERVICES INC. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER M-43 February 2, 2007 <br />SANTA ANA, CA 92702 Policy Penod: Nov 26, 2006 -Nov 26, 2007 <br />a -coos Div <br />Mailing Address <br />A- ,20 06' /~y - °~ Unted Financial Casualty Company <br />PO Box 94739 <br />Additional insured endorsement Cleveland,°"44,°' <br />B00.444.4487 <br />For customer service, 24 hours a day, <br />Name of Person or Organization 7 days a week <br />CITY OF SANTA ANA <br />20 CIVIC CENTER M-43 <br />SANTA ANA, CA 97702 <br />The person or oryanization named above is an insured with respect to such liability coverage as is <br />afforded by the policy, but this insurance applies to said insured only as a person liable far the conduct <br />of another insured and then only to the extent of that liability. We also agree with you that insurance <br />provided by this endorsement will be primary for any power unit specifically described on the <br />Declarations Page. - <br />Limit of Liability <br />Bodily Injury No[ applicable <br />Property Damage Not applicable <br />Combined Liability $1,000,000 each accident <br />All other terms, limits and provisions of this policy'r•emain unchanged. <br />This endorsement applies to Policy Number: 03312696-1 <br />Issued to (Name of Insured): FIELD DATA SERVICES INC. <br />Effective date °i endorsement: 1 112 612 00 6 Policy expiration date: 11/26/2007 <br />Form 1198 (01/e4) <br />r t`i'2131~ ~ _ _ ", ; TO FORM <br />~...~,. <br />