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POLICY NUMBER: 72 SBA UW5103 <br />y <br />`,�, . ,.. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE /POLITICAL SUBDIVISION <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />SHERRY BARKLEY <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDLS WITH REGARD TO <br />GENERAL LIABILITY COVERAGE AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />INSURANCE IS PRIMARY AND NON - CONTRIBUTORY. <br />Form IH 12 00 11 85 T SEQ. NO. 002 Printed in U.S.A. Page 001 <br />Process Date: 03/23/10 Expiration Date: 03/01/11 <br />UW COPY <br />