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<br />,te: 1/12/2007 Time: 1:03 PM To: Christina Sundstrom @ 17146475635 <br />1-510-452-2193 Page: 004 <br /> <br />I)DDttIONALIN$L~D mmOR~MENT <br />FOR~O~RCIA.LQENE!AL L1~U.lTYPQLIGY <br /> <br />InSU1'a!lce COInpany . Ha\tlqrtj r:irelnSllp~.r.ceC~mp:any. <br /> <br />This Q,D.dotsem,ellt'motUfies sUch intlur~(;le ai i~!1ffQ:nleQ by t;l1e prcivi$i(ln~ Qf Poliey <br />#$7CESSS~265 _ .. . ~is;tingtothe; fQl1o\"vil1g: <br />... ... ."... .. <br /> <br />1. . tlieCity Qf SI\Il~ Ana, ZO Civi~ CfJ1ter P]az~, Santa Ano..California92101; its <br />of!'i.~ers,em.ployet;stagents,'YQhUl.tem 1md ,r~p1'.$en~va$ uenamed u additiolla.l ms~-eds <br />C'additionalinsurf!d$'i) with regard tQ llabifity anddofense QfSllits311sins.; frot't1theop~at!ons <br />andUS8Spetrormedbyor on behalf oftb~ natn9dimlu,ed. <br /> <br />2. Wlth respect to olalln$ad~lllg Qut l;Jfthi! ()pcr~liYr~ aJlQ Ul!v~ p"Soln.ed b) ~~ (>~l <br />beba1f of the ll~~_e(l,such insutance as is afforaed byt~sPQ1ic.y ispriri1aryand is not <br />additional to or contti'buti11g wit.l1l!J1yoth~ in&uraJ1cec1m'i~d by or for the be,n.~tit oftb,~ <br />additioI'.al in&uiedS, . . <br /> <br />3. 'l'hisinsurance appli~s9ep\Wa~ty,to e~h insured agaulSt \\Thorn clailn is made Qr <br />sqitjJbTQughtex~eptW:ith~$p~ttotl:1~:,cQmpa.n.1s Iimits:of1i$ility. The mclusion OfiinY <br />perso.n orp:llamzati4U lta'a,n ~$ut(Jd''8ha.11 not. affect an)lrlghtwhi(lbs'li$h~rs{)n ororg;anization <br />would ha:v~a,s aclai~Hf 1lg! ioincl~detl <br /> <br />. 4,.. Wj~ i!~~tto t~ j1ddi#Q11~il1B~df.I' t11is ii1~\lranoesh411 Mtbe ~.8J:1\;elled,* <br />1'11li?l'i,allyr~~~itt ~ev~!;~ ~Miffli.except after thirty (3(1) d~yg.Writt~n tloQ:c.e has be@ , <br />giv~I1 to.. R\e City of Santa Ai~ 20 Ci",~cCenter :Pjata,SatttaAt1a, CaUfomia:9270 L. I <br />*Exoeptfot t~nday notice forr1Qri-p~Yl11etltPrpremium <br />(Co,ntpletionofthefoUtJwmg. inoludingccuntet'~igl'ln~e, i!i req~ir~a to P}akcthis eudorliement <br />effective.) <br /> <br />Bf1(!edv~12/31/o6 . . _, this ~dp1'3enlent fOfin M a part of <br />P()li~y# S7C5-Sii"~~~ . . . , . . '--'- <br />15$u-ed to ..l1ti~j~PFn'[Jin"~~il')or:Qrp~l'atip!"l. . .,'~ . ... ..... .. ..... ...........-... <br />Nan1ed Insured <br /> <br />. .If ~..~ <br /> <br />Cottu~igned by <br /> <br />~. <br />" , <br />. . <br />. . . " . . . <br />. .. ." "". ,..'.'....... <br />.. '. ." ...... <br />- . <br />'. . ~ . <br />. . , <br />. . . . <br />,. . ..... .' <br />. . "'. , . . :",".: ....", ' <br />-. ,.,. ~"V ,'/ .,.... . .. . ", "', ," " . <br />AutherizedRepte$~n~fltive <br /> <br />f%3),? <br /> <br />