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<br />From: Jajm~ Noriega At: Chapman & Associates Fi='''ID: Chapman Associates To: Lucy <br />""" <br /> <br />Date: 0110612003 12:47 PM Page: 2 of 2 <br /> <br />-..I <br /> <br />ENDORSEMENT <br /> <br />POLICY NUMBER: 200202327NPO <br />INSUKELJ COMPANY NAME: Non-Profits Insurance of California <br /> <br />THIS EI'iDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREfULLY. <br /> <br />ADDITIONAL INSURED-DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GET\ERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />NUlm: Df P~rs(Jn or Organl/l1liOlr <br /> <br />City of Santa Ana and its Officers, Agents, Employees and <br />Volunteers are named as additional insured as re.~pects their interest in <br />connection with the named insured. <br /> <br />(If no efltry appears above, infonnation required to complete this endorsement will be shown in <br />the Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person Or <br />organization shown in the Schedule as an insured but only with respect to liability arising out of <br />your operations or premises owned by or renled to you. <br /> <br />IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITY Of SANTA ANA <br />SJlALl APPL Y lN EXCESS OF, AND NOT CONTRIBUTE WITH, INSliKANCl PROVJDELJ <br />BY TI liS POLICY <br /> <br />Named Insured: <br /> <br />Dayle Mcintosh Center <br />13272 Garden Grove Blvd. <br />Garden Grove. CA 92813 <br /> <br />Authoriz.ed Representative: 1:"1..._ n' - <br />Dated: 01/06/03 , W7 .......-- <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />~~t:if:'~17 <br /> <br />;)Q1Irry Ciry Attorney <br />