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SB Policy No. 92-GA-8133-8 <br />FE-6609 <br />SECTION 11 ADDITIONAL INSURED ENDORSEMENT A <br />Policy No.: 92 -GA- 813 3 - 8 <br />Named Insured: GEORGE, MARIE <br />DBA ACT ONE ACADEMY OF DANCE <br />Additional Insured (include address): <br />CITY OF SANTA ANA <br />THEIR OFFICERS & EMPLOYEES <br />888 W SANTA ANA BLVD STE 200 <br />SANTA ANA, CA 92701-4561 <br />WHO IS AN INSURED, under SECTION II DESIGNATION 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 Additional Insured solely <br />because of your work performed for that Additional Insured shown above. <br />Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for <br />damages for which you are provided coverage. <br />The Primary Insurance coverage below applies only when there is an "X" in the box. <br />® Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary <br />insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to <br />coverage provided to you. <br />All other policy provisions apply. <br />FE-6609 Printed in U.S.A. <br />