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<br />.' .. <br /> <br />SB Policy No. 92-GA-8133-8 <br /> <br />FE-6609 <br /> <br />'6 <br /> <br />SECTION II ADDITIONAL INSURED ENDORSEMENT <br /> <br />l...IIU,IlIC\ <br /> <br />Policy No.: 92-GA-8133-8 <br /> <br />Named Insured: <br /> <br />GEORGE, MARIE <br />DBA ACT ONE ACADEMY OF D1\NCE <br /> <br />Additional Insured (include address): <br />CITY OF SANTA ANA <br />THEIR OFFICERS & EMPLOYEES <br />888 W SANTA ANA BLVD STH 200 <br />SANTA ANA, CA 92701-4561 <br /> <br />WHO IS AN INSURED, under SECTION" 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 /> <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 /> <br />The Primary Insurance coverage below applies only when there is an "X" in the box. <br /> <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 /> <br />All other policy provisions apply. <br /> <br />(t.:.: l <br /> <br />! ' <br />Ii ',\ j ,._:...:o._i ,:." <br />,r;"1 ': 'J", ~ 1 <br />...... r--'t'1 i- <br />\.! .' <br /> <br />if' <br /> <br />, <br /> <br />~ 'C_~._T <br /> <br />.",,':;tZ.-1, ,:it\' <br /> <br />!\ ~; ': : . <br /> <br />FE-6609 <br /> <br />Printed in U.S.A. <br />