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<br />Ucl. L:2UI.:b 1": jjAM <br /> <br />LAK: JN~UkANC: A~:NCv <br /> <br />No. C i~ I <br /> <br />L <br /> <br />- <br /> <br />ENDORSEMENT <br />NO. 2 <br /> <br />Western Heritage <br />'''sQi'ltnCil (1lII1lPl,WY <br /> <br />ATTACHED TO AND ENDORSEMeNT EfFcCTIV[ DATE <br />FORMING A PART OF tl~;Dl r....M. STAPIllJAAD TIME) lIlAMED INSURED AGENT ND. <br />POLlCY NUt.llU;~ <br />SCP0618J71 08/02/2006 ORANGE COUNTY CHI LDRENS rHEAAPEUTIC 04040 <br /> ART CENTER, INC. <br /> <br />(The abovQ Information Is required Dnly wh9n this endorsement Is Issued subsequent to prl~p!lratJon of the policy.) <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />In consideratiDn Df the premium charged, it is hereby understood and agreed that the <br />?ol1cy is amended a8 per the attached form CG 20 10 (7/0~). <br /> <br />:::t 18 furr.ber understood and agreed that .in cOhsideration of an add:tionnJ preminm of <br />$150.00, form CG 20 Ie (7/04) is amended l.ll pan to include the following verbiage, <br /> <br />"This insurance shall be primary and noncontribu'tory but only in the event of the Named <br />Ihsured I a sole neg11genee." <br /> <br />The primary verbi.ge applies to the following entity only: <br /> <br />City 0: Santa Ana <br />P.O. Box 198U <br />Santa Ana, CA 92702 <br /> <br />Additional premium~ <br />State tax: <br />Stamping fee: <br /> <br />$150.00 {Fully Earned) <br />S 4.50 <br />$ 0.26 <br /> <br />$154.76 <br /> <br />Total Amount Due; <br /> <br />-;;'lC;~:_.> <br />~e .v <br />1<-0 R:, / <br />Sl .' ..../ <br />/:;~.e"$ {{ s'i- <br />...... ~O'?- ~'\l <br />'C.. 5 \\Ol""' <br />\..\51'- \ ()\'1 f'. ,J) <br />f'SS\S\~ 0 ~ "1 <br /> <br /> <br />SM/NT <br />10/20/2006 <br /> <br />Ail otherTermG and Condilions of Ihis Policy remain uhchanged. <br /> <br />..6?~ e ~~,). <br /> <br />AUTHORIZED REPR~S~N"lATJVE <br /> <br />I <br /> <br />DATE <br /> <br />WHi ;:0.01015\03(99) <br /> <br />INSORED <br />