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AU8-29-2008 08:47 FROM:CUMA <br />9166469183 TO:7145714209 P.3/3 <br />Additional Insured -- Owners, Lessees or Contractors — AB 90 67 12 93 <br />Policy Amendment Section 11 <br />Insured Serrano Animal & Bird Hospital Policy Number $1-14AZ('80829158 <br />Schott H. Weldy, DVM <br />Producer Veterinary Ins Services Co Effective Date 07/01/2008 <br />Schedule <br />Name of Person(s) or Organization(s) <br />City of Santa Ana and their respective officers, employees, agents, volunteers and representatives <br />Primary Insurance - It is agreed that such insurance as afforded by this policy. for the henef t of the <br />additional insured shall be primary insurance cis respects any claim, loss or liability arising directly or <br />indirectly from the insureds operations and any other insurance inainle ined by the culditional insured <br />shall be non-contributory with the insurance provided hereunder. <br />(If no entry appears above, information required to complete this Endorsement will be shown in the Declarations <br />as applicable to this Endorsement) <br />The following is Added to Part I WHO IS AN rN- <br />SURED in the Business Liability Section of this policy <br />5. The person or organization shown in the Schedule <br />is also an insured, but only with respects to liability <br />arising out of your work. for that insured by or for <br />YOU. <br />All other terms and conditions of the policy apply. <br />'Phis firm must be attached to Change I:ndorStincnt when issued after the policy is writ ten. <br />One of the Fireman's Fund Insurance Companies w named in the policy. <br />Secretary President <br />AR9067 12.93 <br />Cnmaiag copynghted Maurisl of Inxur,�na Sernces O$ices, Inc . 19114 <br />Fax from : 9166469103 <br />00/29/00 09:46 <br />Pg: 3 <br />