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<br />From: Jaime Noriega At: Chapman & Associates FaxlD: Chapman Associates To: Lucy <br /> <br />Date: 0110612003 12:47 PM Page: 2 0 <br /> <br />'-' <br /> <br />'wi <br /> <br />ENDORSEMENT <br /> <br />POLICY NUMBER: 200202327NPO <br />INSUKl::ll COMPANY NAMI::: NOD-Profits Insurance of California <br /> <br />THIS Ei'iDORSEMENT CHANCES THE POLlCY. PLEASE READ IT CAREfULLY. <br /> <br />ADDITIONAL INSURED-DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insLlrance provided under the following: <br /> <br />COMMERCIAL GEl\"ERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />N,um: of Persun or Or~ani/lllion: <br /> <br />City of Santa Ana and its Officers, Al:ents, Employees and <br />Volunteers are named as additional insured as respects their interest in <br />connection with the named insured. <br /> <br />(If no entry appears above, infonnarion required to complete this endorsement will be shown in <br />the Declarations as applicable to Ihis 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 respecl to liability arising out of <br />your operations or premises owned by or rented to you. <br /> <br />IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITV Of SANTA ANA <br />SllALl APPL Y IN EXCESS OF, AND NOT CONTRIBUTE WITH, INSl!KANCE PROVIDED <br />BY TillS POLICY. <br /> <br />Named Insured: <br /> <br />Dayle Mcintosh Center <br />13272 Garden Grove Blvd. <br />Garden Grove, CA 928~3 <br /> <br />Authoril.ed Representalive: 1:1..._ n' .... <br />Dated; 01/06103 'W?' ~ <br /> <br />APPR~VED AS TO FORNJ <br /> <br />