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Uc1.Li ZUUb II:)5AN. LAAt )h',MANCt AGtNCY <br />No. U/0 I'. e <br />1^ ` <br />Western Heritage <br />1A ranco company <br />ENDORSEMENT <br />NO. 2 <br />ATTACHED TO AND <br />FOflMNDAPARTOF <br />ENDORSEMENT EFFECTM DATE <br />NAMED PI8URE0 <br />AGENT ND. <br />POLICY NUMBER <br />t12Dt A- STANDARD TMEj <br />SCP0618371 <br />00/02/2006 <br />ORANGE COUNTY CHILDREN$ THERAPEUTIC <br />04040 <br />ART CENTER, INC. <br />(The above Information is required only when this endorsement Is Issued subsequent to preparation of the policy.) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />In consideration of the premium charged, it is hereby understood and agreed that the <br />policy is amended as per the attached form CG 20 10 (7/04). <br />It is furr.ber understood and agreed that in consideration of an additional premium of <br />$150.00, form CG 20 10 (7/04) is amended in part to include the following verbiage: <br />^This insurance shall be primary and noncontributory but only in the event of the Named <br />Insured's sole negligence." <br />The primary verbiage applies to the following entity only: <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Additional premium: $150.00 (Fully Earned) <br />State tax- _ $ 4.50 _ <br />Stamping fee: $ 0-26 <br />Total Amount Due: $254.76 <br />PE 5-t0P�o�n�y , <br />om / \ <br />/l D <br />SM/NT <br />10/20/2006 <br />All other Terms and Conditions of this Policy remain unchanged. <br />AUTHOW2ED REPRESENTATIVE <br />DATE <br />WHI20-0106 (a+/98) INSURED <br />