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4 <br />V <br />y� <br />V <br />d <br />h <br />5 <br />•i <br />01 <br />s <br />iv <br />r <br />U <br />v <br />O <br />R <br />h <br />O <br />5 <br />d <br />h <br />O <br />Q <br />4 <br />3 <br />m <br />m <br />ti <br />C <br />e <br />d <br />b <br />a <br />0 <br />i <br />a <br />x <br />POLICY CHANGE ENDORSEMENT <br />This endorsement summarizes the changes to <br />your policy. All other terms of your policy not <br />affected by these changes remain the same. <br />How Your Policy Is Changed <br />GENERAL LIABILITY <br />Adding form G0435 0400- Non - Contributory Other Insurance Endorsement - <br />For Described Additional Protected Persons <br />for: <br />The City of Santa Ana <br />Premium Change Which Is Due Now <br />Additional premium -0- Returned Premium -0- <br />If issued after the date your policy <br />begins, these spaces must be completed <br />and our representative must sign below. <br />Authorized representative <br />Policy issued to <br />ENVIRONMENTAL SYSTEMS RESEARCH <br />Endorsement takes effect <br />06/13/06 <br />Processing Date: 06113/06 <br />40704 Ed.5 -84 Printed in U.S.A. Endorsement <br />®St.Paul Fire and Marine Insurance Co. 1984 All Rights Reserved <br />IwSrbul <br />Policy Number <br />TE06100240 <br />15:48 012 <br />Page 1 <br />