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09/29/2010 22:14 FAX <br />ST' Policy No, 92 -06 -6495 7 <br />2002 <br />FE -8809 <br />Nf IOW <br />SEC"rION Il ADDITIONAL INSURED ENDORSEMENT <br />IMV•Ve <br />Policy No.: 92-06-6495-7 <br />Named Insured: CHRI!i TOr ?H, ANN <br />Additional Insured (include zi idress): <br />THE CITY OP SANTA AWr, ITS <br />OFFICERS, EMPLOYEES, AGENTS, <br />VOLUNTEERS & REPRESEI!'TATIVES <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 -4:59 <br />WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the <br />Additional Insured shown abase, but only to the extent that liability is imposed on that Additional Insured solely <br />because of your work perfom- ed for that Additional Insured shown above. <br />Any insurance provided to the 4dditional Insured shall only apply with respect to a claim made or a suit brought for <br />damages for which you are pr:ivlded coverage. <br />! The Primary Insurance coverage below applies only when there is an "X" in the box. <br />xp Primary Insurance. the insurance provided to the Additional Insured shown above shall be primary <br />insurance. Any insuc mce carried by the Additional Insured shall be noncontributory with respect to <br />coverage provided to ,,ou, <br />All other policy provisions app y. <br />FE -6809 Printed In U.S.A <br />