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<br />Apr' 17 2007 s: 06AM <br /> <br />(973) 625-2282 <br /> <br />p.3 <br /> <br />~ <br /> <br />CHUBB <br /> <br />Liability {nsurance <br /> <br />Endorsement <br /> <br />Policy Period !<!:ARCH 1,2007 TO HARCR 1,2008 <br /> <br />Effective Date MARCH 1,2007 <br />PoiioyNumbor 3587-54-87 FPO <br /> <br />Insured <br /> <br />ORPAK USA,INC. <br /> <br />NamQofCompany FEDERAL INSURANCE COMPANY <br />Date Issued APRIL 12,2007 <br /> <br />TI1;s B:odorsementapplie& to tho followit:gfonns: <br /> <br />The city of Santa Ana,it's Officers,employees,agents,and <br />repre5entatives are named as aditional insured <br /> <br />- <br /> <br />Under Vlho Is An Insured, the followin,g provision is added: <br /> <br />Who Is An Insured <br /> <br />ScheduledPerson Or <br />Organization <br /> <br />Subject to all of the terms and conditions of this insur8nce~ any pe:son or organizationriliawnin the <br />Schedule, acting pursuant to a written contract or agreement betw'ecn YO-:J. and such person or <br />organization, is an Insured; but they are Insured. onlywitb. <espectto liability arising out of your <br />c?eraticns, or yom premises, if you are obligated, pursuant to such contractor agreemen~ 10 prmride <br />them with. sucb. \nsL.u"anceas is afforded by this policy. <br /> <br />However ,no su(:,h person or organization is an insured vnth respect to any: <br /> <br />""sllIllptiouofliabilityby the;n in a tontractor agreement This lirnitationdoe. not apply to <br />the liability for damages fur injllI}' or damage, to which this insuranteapplies, that the person <br />or orgaLization. would have 1TI rl+e absence of such contract or agree:ne.o.t. <br /> <br />damages arising o.~t of their sole neg1igence. <br /> <br />Schedule <br /> <br />I. .. <br /> <br />Liability Insurance <br />Form BG-02-23B7(Rev. 8-0<) <br /> <br />Ar:Jditronal [[1surerJ -SClie.de.'IBd P&(SOl1 Or OlgBnlzatlon <br />Endon;.M1ent <br /> <br /> <br />..;;Z/~ <br />continued <br />Page 1 <br />