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<br />L: <br /> <br />CHUBB <br /> <br />Liability Insurance <br /> <br />Endorsement <br /> <br />Policy Period <br /> <br />AUGUST I. 2007 TO AUGUST 1,2008 <br /> <br />Effective Da Ie <br /> <br />AUGUST I. 2007 <br />3580-03-20 CHI <br /> <br />Policy Number <br /> <br />Insured <br /> <br />AMERICAN BANCORPORATION, AMERICAN BANK 0 <br />F ST. PAUL <br /> <br />Name of Company <br /> <br />GREAT NORTHERN INSURANCE COMPANY <br /> <br />Dare Issued <br /> <br />SEPTEMBER 6, 2007 <br /> <br />TU <br /> <br />GENERAL UABlLITY <br /> <br />This EndoJsemenl applies to the following fonns: <br /> <br />WHO IS <br />AN INSURED <br /> <br />; <br />, <br /> <br />" <br /> <br />Liabillry Insurance <br />Form 8rH)2-2373 (Ed. 4-94) <br /> <br />Under Who Is An Insured, Ibe following provision is added: <br /> <br />Designated Person Or <br />Organization <br /> <br />Any person Or organization designa!ed below is an <br />insured; but they are insureds <br />only with respect to liability arising oul of your operations <br />or premises owned by or rented to you. <br /> <br />EMPOWERMENT ZO~CITY OF SANTA ANA, OffiCERS, AGENTS, <br />VOLUNTEERS AND EMPLOYEES <br />POBOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />Insurance Is Primary and Non-Contributory. <br /> <br />All other terms and conditions remain unchanged. <br /> <br />Authorized Repregenr1J6v6 <br /> <br />lZw-/ikr <br /> <br />ADDL IfoJS - SCHEDULED PERSON OR ORGANIZATION <br /> <br />~ndo'semMt <br /> <br />last page <br />P:Jg91 <br />