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O;,t-O6-05 01:22pm From-DRIVER ALLIANT INS, C 9497502713 T-470 P.03/03 F-547 <br />M r <br />indorsement. No. 3 <br />ADDITIONAL INSURED - DIi~SIGNATED PERSON OR ORGANIZATION <br />IT LS AGREED TI~IAT THE FOLLOWING ARE ADDED AS ADDITIONAL WSURED (S} HEREUNDER <br />BUT ONLY AS R1rSPECTS LIABILITY ARISING OUT OF THE pPERATIONS OF TIIE NAMED <br />INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCK ADDITIONAL INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMI£ OF LIABILITY AS SPECIFIED IN THE <br />DECLARATIONS OP THE POLICY. <br />SCHEDULE <br />NAMED INSURED: FAM1L(ES TOGETHER OF ORANGE COUNTY " <br />801 S, LYON ST. <br />SANTA ANA, CA 92705 <br />NAME OF PERSON OR <br />ORGANIZATION/CERTIFICATE HOLDE13; C[TY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />20 CIVIC CENTER DRIVE <br />PO BOX 1988 <br />SANTA ANA,CA 92702 <br />THIS INSURANCE IS PRIMARY AND ANY INSURANCE OR SELF INSURANCE <br />MATNTAAVED BY SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE <br />TO TT. <br />PER CERTIFICATES OF INSURANCE APPROVBA BY THE COMPANY, AND ON FILL; WITH THE COMPANY <br />EF'F'ECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br />ATTACHED TO AND FORMING A PART OF POLICY NO.: SLIP3000-OS <br />AllOtheC terms and conditions remain unchanged. <br />Insurer: EVANSTON 1NSU.RANCE COMPANY <br />Spacial Liability Insurance Program (SLIP) <br />Effective September 29, 2005 to September 29, 2006 <br />DATE [SSUfiD: 1016105 API'RO V Ell AS TO FORM <br />zIz <br />Laura soul slaeedy <br />ti-~~~~- Assistant City Attorney <br />