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<br />~ <br /> <br />.fIi/8'!l-' 14,.<:l ..' .~~.- . <br /> <br />FL _ ~I.'t>> <br /> <br />. . <br /> <br />ADDmONAL INSURED <br /> <br />~ <br /> <br />[ <br /> <br />pellql\lOldr. SpclItS 000 ~OII l',aoidcnl Assoeia"'" Rio" M""""'-"lec. <br />TriFyll :spa.u <br /> <br />.......... c......-r- ~ AI"""";oe las\nOCC ~ <br /> <br />.....,. tlI- 16A20L000000I.oclfl0099$S-OO <br /> <br />~._ lIn~ It 12:01 AN $ao4aldTi..............oi~...licyhalde< <br /> <br />'1'11II eRJ I.__t~....,..,. 11eMt.........4.,. <br /> <br />WHO IS AN INSURED (SectiOllIll) is lI1ItlIIied to include IS an i-..llho penon 0< <br />orpoizaliOllIis1cd below .. on ,ll$IIRld but only wie ntpCCllO liability arising - ofywr <br />opentions or pnoni... owued or rented 1ft YlJ'I. <br /> <br />'11Ic City ufS-....... mcJ 1be City of s.ta Ana, 10cal.c4" 20 Civie Celli" Pboz.. Santa <br />APt, Ctlifumlt 91701; and Iheir .~"" oflicero, emp~ ap:ab. YOI_..d <br />..-aD- .......... addiliontl insured wido regard to Iltlrili\)' ODd 4cfense of <br />~ lIrioRo& &om tho opcndoN ODd IIIOS perf'ormcd by or... ~oflM--S <br />iI\IIII'Od. . <br />W"JCk ~ to cl8i_ trisiJla OUt of d>c "I"-'.olloI\s lIIId ..... perfom_ by or CD bcbaIf of <br />die IIlIlned ~ ...... iP$IIC8IlOC as i. tfroldcd by dUo policy is prima<}> and io nol <br />tddiliOOllli to or eonIribuq w11h any oIIMr il\5UllUlCC ccried by or '01' tho bandit oitbe <br />lIdditiOOlll ~ <br /> <br />Name of PeISCIl1 Of' Orptim......' <br /> <br />Cn'Y OJ' SAJ'l''' ...... <br />2li CMC C1!N11I2 PI.AZA <br />SANT... AN.... C... 9270Z <br /> <br />r. &fiery 0"- _1,dNpok,......... II ilL <br /> <br />PLB.4aIld7TdC8 T1Il$ .NhOUEIllEN'l'TO f(KJ~ l'OUC'Y. <br />c...oknod: l~ <br /> <br />APPROVED AS TO FORM <br /> <br />?38r.-h.. <br /> <br />, ~~!'a ~tlU S~~~~i <br />A..1Stant Cit:)' Auoru.ey <br /> <br />(I "d <br /> <br />lS:Sl 900Z 1I uor <br /> <br />9199-lt9-Ul :xeJ <br />CICQ-/"q-bll :xe-l <br /> <br />AllV All] WNW W1NYS <br />lilY lll~ WNY WlNYS <br /> <br />n, . , <br /> <br />cnonl nnn,. II liP!" <br />