QUINN, SUSAN 2 - 2001 - Laserfiche WebLink

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From: Susan Qu;n" To: J rr Stikeleather Date: 02123/20C1 Time: 3:14:00 PM Page 3 of3 . '-' DF Policy No. 92-S6-8207-2 ...., FE-6320 (7/88) ADDITIONAL INSURED ENDORSEMENT DESIGNATED PREMISES ONLY '6. Policy No.: 92-86-8207-2 "..yu..t~ Named Insured: QUINN, SUSAN & GERALD Name of Additional Insured: THE: CITY OF SAllTA ANA ITS OFFICBRS, EMPLOYEES, AGENTS & VOLUNTEBRS Address of Additional Insured: ATTN: JIM STIKELEATHER 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4010 Interest of Additional Insured: CONTRACTOR OF SERVICES - NON -CONSTRUCTION location of Premises: 246 VIA PRESA SAN CLEMENTE CA 92672-9461 The word "insured", wherever used in this policy, aiso includes the designated person or organization named above as Additional Insured under lhe provisions of the policy Sections shown below as applicable by an "X" to the extent indicated. o SECTION I. This applies only to COVERAGE A . BUILDINGS. o SECTION I. This applies only to COVERAGE B . BUSINESS PERSONAL PROPERTY Description of Property: IXI SECTION II. This applies only to COVERAGE l - BUSINESS LIABiliTY and COVERAGE M _ MEDICAL PAYMENTS and then only with respect to the ownership, maintenance or use of the premises designated above and operations necessary or incidentai thereto. These SECTION II coverages do not apply to: 1. structural alteralions or new construction performed by or on behalf of the designated person or organization; 2 personellnJury caused by the designated person or organization: 3. liability the designated person or organization assumed under a contract: or 4. products-completed operations huard ansing out of goods or inventory which are not sold or distributed by you or arising out of the manufacturing or packaging of such goodS or inventory. All other provisions of the policy apply. APPROVED AS TO FORM Laura Sheedy Deputy City Attorney PrinttCllnU.$A FE-tl320 (7188)