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Nov 03 05 12:34p CC Youth Commission 714-5'2-7746 5 <br />11/93/2005 13:06 303422? BW LEID AGENCY PAGE 05/06� <br />4 <br />ENDORSEMENT <br />*POLICYNIJINBER: '76/7.::�cf1 lfiadoaoJ_ <br />•INSUREDCONVANYNAME: <br />THIS ENDORSEMENT CRANC:BS TON ]POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSIURED—DESIGNATED PERSON or <br />ORGANIZATION <br />This etdorwitent nvulifies insurance providcd tinder the followitIV <br />COMMERCIAL 61I4ERA,L LIABILITY COVERAGE ?ART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana a nd its Officers, Agents, Employees and <br />Volunteers are named as additional insured as respects their <br />interest in connection with the named insured. <br />(Irno carry appears above, information required to coraplcte tbis endorsement will be <br />shown in the Declxations w ippll=ble to this cndorsenmit") <br />WHO IS AN INSURED (St etion H) is woerded to include as an hatred the person or <br />organization shown in the S,Atcdolo, but otdy with respect to liability arising o ut of your <br />opeadons or premier* owns ( by or retaw to you. <br />IT IS AGREED THAT AT It INSURA14CIE MATNTA141M BY THE CITY OF <br />SANrA ANA SHALL AWLY IN EJICESS Of, AND NOT CONtRIOU llt WITII, <br />INSURANCE PROVIIIF A nY THIS POLICY. <br />Agent's Signatare: <br />ca la to 1195 <br />m91C SAWS- AW10*1 hrww*iu, rd 4 <rwromua unVmfpAaaw <br />APPROVED AS 'TO FORM <br />z13 Sffitt Shcedy <br />Assistant City Attorney <br />