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ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company LLOYD'S of LONDON (AM Best Rating A 15) <br />This endorsement modifies such insurance as is afforded by the provisions <br />of policy # OME 001379 relating to the following: <br />1. She City of Santa Arm, and ilio C iW9f 8=ft Asst, locstad atZo Gavle <br />CenWPlora, Sao Ana, CeLiS =9"01: and theirresyectiw otnoM enVoycM <br />ascots. valaatoets a nd rexaccuum arc namci as additional i oataade Padaitioeal <br />insumde) with esyptd m tiabiilty and difmrsa of sulta &1aing from the opanions and <br />uses paftmted by oronb Andfofihcnamed insured. <br />Z WM respect to t:bmm wising out cftheo9cradc os aatdVWpaMmiedby <br />or onbehalf of1bo named i weed, each maaraaa► ea is agodedbyll6 policyis primacy <br />cad is not additional to or conttibutiog with nay btha;nsuramee ewried by or for thte <br />henafitofthe additional itaarads. <br />3. This 9aauuooe aRHa sepsaat* to each iasored agaiastwhom claim it <br />Made ora dtis brotzghtaxwX witbteWw tot to caa anya iimboflGtbility. Mho <br />indWsion of any poem or organization as an insured shall Rot af1W satydSbt which such <br />pecan or organiasOm would have as a claimant ifaet so lncledad. <br />4. With respect to the aMfioaai insursda, this msur8nce aitalinwt be <br />saaFelled, or meabllyreduced Ineovarage orlW to wA*taRer%ftV 00 days writs <br />nadea his been given to the ()omtnti tyRoftWopmast Agency oftlta City of9anta <br />Ann, 20 t ivte Cmw K= (M-IU Santa Ana. Wfontia 92701, <br />(Compietica oftbo following, inchuft conabasaignatvr4 is requited to make this <br />04WM=W ot`8wrivc.) <br />Effective 01 -10- 3009 this endorsement form as a part of <br />Policy# OME001379 <br />Issued to —BELL BUILDING MAINTENANCE, CO. <br />Named Insured <br />e <br />Countersigned by <br />Authorized Representative <br />