Laserfiche WebLink
Endorsement. No. 3 <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />IT IS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABILITY AS SPECIFIED IN THE <br />DECLARATIONS OF THE POLICY. <br />SCHEDULE <br />NAMED INSURED: PAINT YOUR HEART OUT, INC. <br />1260 N. HANCOCK, UNIT 103 <br />ANAHEIM, CA 92807 <br />NAME OF PERSON OR <br />ORGANIZATION/CERTIFICATE HOLDER: <br />CITY OF SANTA ANA <br />ATTN: FRANK HERNANDEZ <br />MANAGEMENT AIDE <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES. <br />THIS POLICY APPLIES FOR LIABILITY ARISING OUT OF THE INSURED'S <br />OPERATIONS ON A DIRECT AND PRIMARY BASIS, AND INSURANCE <br />MAINTAINED BY SUCH ADDITIONAL INSUREDS IS EXCESS AND <br />NONCONTRIBUTING WITH THIS POLICY <br />PER CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH THE COMPANY <br />EFFECTIVE DATE OF THIS ENDORSEMENT: 10/29/07 <br />ATTACHED TO AND FORMING APART OF POLICY NO.: 71S2040000 <br />All other terms and conditions remain unchanged. <br />Insurer: EVEREST INDEMNITY INSURANCE COMPANY <br />Special Liability Insurance Program (SLIP) <br />Effective October 29, 2007 to September 29, 2008 <br />DATE ISSUED: 11/12/07 <br />