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<br />From: Chapman Cert Request At Chapman Insurance FaxlD: Chapman Associates To: Laura Sheedy <br />.. <br /> <br />Date: 4(26(2007 03:53 PM Page: 5 of 5 <br /> <br />POUCV NUMBER PHPK19615S <br /> <br />COMMERCIAl GENERA.L UABlUT'I' <br />eGo 20 2'6 0704 <br /> <br />THIS ENDORSEMENT CHANGES THE POLlCY. PLEASe READ l'T CAREFUllY. <br /> <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br /> <br />TI'isendorsemMl rrodllias itlsunn-.e provided uttdar lt1e foIIoMl'i,,: <br /> <br />COMMERCIAl GENERAl UABIUTY COVERAGE PART <br />SCHEDULE <br /> <br />NaMe Of AddllloNllln~~ ~t!.!2.f!t!1 Or ~e1iZ!~n:t!L._.._.~___ ., .__.__._.,'-~.__~...._.._._ <br />Tlw City of Sant~ Ana. its officers. Mllployees. agents. volunteers and r~r"$.ntativt$. <br /> <br />Suclh insurance i$ Primary amJ non-llont,ibutOl'Y. <br /> <br />IrlfomMf1tion <br /> <br />10 <br /> <br /> <br />et Ihls Sc:hedule if not sho'WllIII:.'ar;we . be shOWfl in Ih. o.dliil'allol'll1;._._.. <br /> <br />Section. - Who Is An InlUr.d is amendeid t,o In. <br />olu$ as an addmnal ilsuted Ihe person(Sl Of 0(' <br />gar'ization(s) shown In Ihe Schedt.de, but or4y v.Mh <br />reaped to .billy fa .tJodi{ intiry"'. "property dam- <br />B:Q$" or .pet8Ol'tal and a61ertlalng injU'y" causod, 11 <br />'NI\oiie (Jt In part" by yoor acts Of omlsslons or the- acts <br />Of on1i~one ~ thou actin'W 0fI ~r behalf; <br /> <br />,,," 10 !he periot'rriaBte d yoor ~ing q)eTatJOR\I: or <br /> <br />B. in oonnedloh with yout pretf'l'Des <MIned ~ 0( <br />renttd to you. <br /> <br />P'._.___ ~':~S~',_j .I D~ J...:, <br /> <br />--~-.~ <br /> <br />~,~i.:~-.:;-l ,)1... ::,,;,_,'..,J";ll;' <br /> <br />i.'-"j~J..~,:,l~ -'-'~tY /;.~.:_\....:- <br /> <br />CG 20 2661 ~ <br /> <br />e ISO Properties, Inc... 2<lO4 <br /> <br />Page 1 of1 <br />