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POLICY ENDORSEMENT # 1 <br />This Endorsement is Attached to and made part of Policy # 3CU7170 <br />Insurance Company Essex Insurance Company <br />Effective date of this Endorsement is 1/30/07 at 12:01 AM Standard Time. <br />In consideration of the premium below, it is hereby agreed that the: <br />X Additional Insured(s) <br />Agent copy <br />Issued to: Society Of St. Vincent De Paul <br />Agent: USI Northern California <br />Producer: Heritage General Agency <br />In consideration of an additional premium of $100. - Fully Earned, form ME009- Additional Insured Endorsement is added in favor of: <br />City of Santa Ana <br />All other Terms and Conditions remain the same. <br />Issue Date: 218/07 <br />Issued By: <br />C un i nature <br />N1'VT(0 L70 AS TO FORM Additional Premium 100.00 <br />.? State Tax 3.00 <br />Stamp Fee 0.18 <br />uuru S(Iu S',. -:; Total 103.18 <br />i_�i, ,.ilur,a <br />