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<br />.. <br /> <br />SB Policy No. 92-GA-8133-8 <br /> <br />FE-6609 <br /> <br />SECTION II ADDITIONAL INSURED ENDORSEMENT <br /> <br />sun 'AIM <br /> <br />A <br /> <br />IHIlItANCI <br /><< <br /> <br />Policy No.: 92-GA-8133-8 <br /> <br />Named Insured: <br /> <br />GEORGE, MARIE <br />DBA ACT ONE ACADEMY OF DANCE <br /> <br />Additional Insured (include address): <br /> <br />CITY OF SANTA ANA <br />THEIR OFFICERS & EMPLOYEES <br />888 W SANTA ANA BLVD STE 200 <br />SANTA ANA, CA 92701-4561 <br /> <br />WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the <br />Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely <br />because of your work performed for that Additional Insured shown above. <br /> <br />Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for <br />damages for which you are provided coverage. <br /> <br />The Primary Insurance coverage below applies only when there is an "X" in the box. <br /> <br />~ Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary <br />insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to <br />coverage provided to you. <br /> <br />All other policy provisions apply. <br /> <br />c l~~' <br />APPRO'! ,1-> <br />/"~') I;> <br />'-/r"~ . <br />. } L> '-___ <br />V /~___ <br /> <br />---~~-I~:i~,~~;;l,--~-- "~, <br /> <br /> <br /> <br />A,S-::;lsta~-l'~ (~1t~'/ <br /> <br />:"-\ T ~ i..; r l-~ <br /> <br />FE-6609 <br /> <br />Printed in U.SA <br /> <br />