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. .. .., - VJdtl~~ ,6 ,eW a~li"'il''~"an~~~ag ~3 r.t <br />~DtbT1TONAL a15L-aF17 c ~ <br />FORS r mar Y7~x~raryYOLTCY <br />Golden Eagle Insurance Company <br />'ibis t rnodiflCS aucte iasutanee as is afforded by ~e ptov»ioa: of Policy <br /># CBP8241272 tY1~g m, the fallowipg <br />t. The Ciryof,Satrta ~. ZO Civic Ceoner Plana, Strata Ana, Caiifoeale~ 92701; ita <br />officers, employees, agents, vot~ugtsas and nepttvas aae named as additional ineoted <br />C'additinnal innmed") with regard to lie6ility and ds8mse of earls ari~aing Trom cne opdxnons ana <br />~ by ar on behalf of the ttt~cdmsutdd. <br />2. With respect to claims arising out of the <br />behal£of ffie Damned ~r'ed, snit ~ e.nnn ,. ae iC Al~.vd <br />uses parfem~cd by Drop <br />d. With rerj-act to f~ additlamisl in5ttred, dus insnrence abali not be trdppetied, ar <br />~ mebetially reduced in coverage or 1ia~ esoapt aiEar thirty (303 days wripee antics has been <br />given to the City of Santa Ana, 20 Citvic Canter Piaztl, Septa Ana. Cali~ia 92701. <br />(CemP]etion of the fbtlo~ving; iucltaiiap ootmotersignanu+r, iS r+puired to make thin eaadorseoeeut <br />r~ctive~.) <br />EtTiective 3/9/07 pia ~Ot~Ortaent farad a3 apart of <br />Policy# P8241272 <br />Issued t0 Tsi ~rnmt3r 1)r~ural7 a Tnta=j,nrs Tnr <br />2~iamrd T+~vur.~t <br />Cotmt~od by _~ ;~ ~~ <br />Au~rned l~eprc5eatative <br />+M ~QM <br />EQ <br />A~pgo~~~ <br />5p ~ ~~oy. <br />~ C ~ `~~ <br />keceived Time Mar & 9;16AM <br />3. Tfiis iuasltxanee applies aepa~ly to each insured whom claim ia:asdts or <br />5tllt is biongbt eXCapt with reapea toSbls cor~auy's limits of tiebiNey. The inclut3aa ofany <br />pecaon or asgdnrcation as sn iusme~ absll let sffoat any right which such peason ar orsanizatipn <br />would have as a claimant if aot eo iaolgded, <br />