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rP.OM :CYSC <br />FAX N0. :909 - 924-9889 Oct. 16 2008 12:09PM P4 <br />PI- mmu- 1 (Oim) <br />ADDMONAL INSURED - pFUr4ARY COVERAGE <br />THE FNDORShXWT CHANGES THE POLICY, PLEA9k; READ IT L'AREF'YULLY <br />ADDITIONAI. INSURED - PRIMARY COVERAGE <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED 'XMR THE I'OLI.OWING: <br />cu.t ERCIAL GENERAL LIABILITY COVERAGE PART, (,,(1*DMEIiCIAL AUTOMMLLE LIABILITY <br />SCHHDULF <br />NAYP OF PERSON OR ORCMIZATLON: <br />CITY c:F SAN'i'A ANNA, ITS OFFICEx:L F•�n YEE9 AND At:F.NTS, 20 CIVIC CENTER <br />PLAZA, SANTA ANNA, CA 92701- 40'n"• <br />WHO IS ANY INSURED (SECTION II) IS AMENDFD TO I,,cLUDH AS AN INSURED THE <br />PERSON OR ORGANIZATION SHOW: IN THE SCHEIw LE, &n ONLY WITH RESPECT TO THE <br />LIABILITY ARISING OUT OF ^YOUR WORK" FOR TRAT INSURED SY OR FOR YOU. <br />EURTHERINJPE, TAE FOLLOWING IS ADDED TO SECTION IV CCMY4ERCIAL GENERAL <br />LIABILITY CONDITIONS PARAGRAPH d, OTHER INSCRANCE <br /><_ OTHER tNSURANCF <br />P.1 THIS INSURANCE 15 PRLMARY FOR THE PF•RSCK OR CAGANIZATTON SHOW LN THE <br />Fax from : 909 924 9889 1B/16/80 12:29 Ps: 4 <br />