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<br />--, ..---, ,......-... .. <br /> <br />FRet', : <br /> <br />,-,. <br /> <br />FAX NO. :714-647-6549 .~ Dec. 19 2002 02:30PM P2 <br /> <br />ENDORSEMENT <br /> <br />'POLICY NUMBER: <br /> <br />NC186546 <br /> <br />'INSURED COMPANY NAME: <br /> <br />Nautilus Insurance Company <br /> <br />THIS ENDORSEMENT CHANGES THE POJ.lCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON or <br />ORGANIZATION <br /> <br />This endorsement modifies illsuran~~ provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Ana and its Officers, Agents, Employees and <br />Volunteers are named as additional insured as respects their <br />interest in connection with the named insured. <br /> <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section fi) is amended to include as an insured the person or <br />organization shown ill the Schedule, but only with respect to liability arising out of your <br />operations or premises owned by or rented to you. <br /> <br />IT IS AGRRF:D THAT ANY INSURANCE MAINTAINlm 1J''t THE Crry OF <br />SANTA ANA SIIALL APPLY IN EXCESS <W. AND NOT CONTRIBUTE WITH. <br />".."","C' 'ROVIO'O "fl:''' ~J:.yJL <br /> <br /> <br />Agent's Signature: ~ # <br /> <br />r.G2UIO II KS <br /> <br />'~ roEM <br />12- <br />'~'. L E SHAW <br />. City Attorney <br />