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�4P 005; 005 <br />Additional Insured - Owners, Lessees or Contractors - All 90 67 12 93 <br />Policy Amendment Section II <br />Insured Community Veterinary Hospital, Inc. Policy Number AZC8079D199 <br />Producer ABD Insurance & Financial Services Effective Date 10 101/05 <br />Schedule <br />Name of Person(s) or Organizations) <br />City of Santa Ana <br />20 Civic Center Plaza, M -30 <br />Santa Ana CA 92702 <br />(If no entry appears above, information .required to complete this Endorsement will be shown in the Declarations <br />as applicable to this Endorsement.) <br />The following is added to Part 1. - WHO IS AN IN <br />SURED in the Business Liability Section of the policy: <br />5. The person or organization shown in the Schedule <br />is also an insured, but only with respect :o liability <br />arising out of your work for that insured by or <br />for you. <br />All other terrns and conditions of the policy apply. <br />11c, Funr. must be attached to Cl range Endorscaimt v hen issued zftc +the policy is wntten. <br />One cf!he Fireman's Fund Insurance Companies as naned in the policy <br />Secretary President <br />A159067 i2 -93 <br />Conbooscop)nghted Malanal of lns.nnce Services Office, Inn., 19iY1 <br />f <br />, /J /C <br />rwM1Sac- Po,Urorvr:aWjcVAY WcummlN1sxi aio,,C<n FUwWI.Vi?o5l.nxi � -� <br />