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08i07/2026 15: 30 7145P/RR9R STATE FARM PAGE 02 <br />06/07/06 NON 14: 28 FAX 805 093 2089 N COAST I6f <br />0 002 <br />SH Policy No. 92-GA-8133-8 <br />F(ye00 <br />SECTIDN II ADnMONAL INSURED ENDORSEMENT <br />�s <br />Policy No.: 92 -GA- l <br />Named Insured. GEORGE, MARIE <br />Additional Insured (Include address): <br />CITY Cr SANTA ANJA <br />THEIR CFFICERS & EMPLOYE.FS <br />898 W SANTA /N7A HLvO STE 200 <br />SANTA "A CA 92701 <br />WHO IS AN INSURED, under SECTION II oESIGNATION OF INSURED, is amended to include as an insured the <br />Additional Insured shown above, but only to the extent that liability is imposed On that Additwnal Insured solely <br />because of your work perform®d for that Additional Insured shown above, <br />Any Insurance to the Additional Insured <br />damages for whichich youu are provided coverage, apply shall only with respect to a claim made or a suit bro <br />y <br />ughlfor <br />The Primary Insurance coverage below applies only when there Is an "X" In the box. <br />fxl P . <br />rnmary Insurance The Insurance provided to the Additional Insured shown above shall be <br />insurance Any insurance canted by the Additional Insured shall be noncontributo w <br />coverage provided in primary <br />you. ry ith respect to <br />All other policy provisions apply <br />PE-0do9 <br />>rnted In U S A <br />