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a part of <br />Number: CBP 8283936 <br />Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION <br />Named Insured: Agent: <br />AUTOMATED VENDING TECHNOLOGIES NEW CENTURY INSURANCE SVS INC <br />INC 570 -6000 <br />REFER TO NAMED INSURED SCHEDULE Agent Code: 4292993 Agent Phone: ( 626 ) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PRIMARY INSURANCE ENDORSEMENT <br />This endorsement modifies the following policy coverage forms: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM <br />Endorsement Effective: <br />(At 12:01 A.M. Standard Time) <br />The insurance provided by this policy for the benefit of the Add' 'on 1 Insu s n in <br />insurance as specifically described in: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FOR C 0 1 <br />Section IV Commercial GfiaeraFklabi' n io <br />4. Other <br />e. Pn rynttiance <br />SCHEDULE <br />Name of Person or O an <br />CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES, <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701- <br />shall be primary <br />GECG 827A (11/97) <br />AGENT COPY <br />0513112OD8 8283936 NEUSXDMCD04 PGDM0601) J29109 GCAFPPN 00021198 Page 35 <br />