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~ - 't~ROM :DIXIE DIESEL nn ELECTRIC FAX N0. :5626954800 Oct. 01 2008 02:32PM P3 <br />w,,.»., -... <br />,, <br />LANt~INARK AIYl6RICAN INSURANCE CGMPAUIIY <br />Thla ~ndorseme»t Changes The PaJlcy. Please Reed !t Carefully, <br />ADDI"~7ONAL INURED <br />BLANlC~7 - PRlAAARY AN~[J YOUR WORK <br />This endorsement modifies insurance provided under the foNowlnp: <br />CDMftAERGYrt1L f3tENfe'Fti4t. I,.IABIt.f~"Y CGVERA(~ PQ13AN <br />of Person or OrBattksttan: <br />~Y persnn or orgariizadYcn fa wham or ip which you errs abY~lad by vktt,e <br />a written cnnhract or by the tseuenoe 4r Bxtetisrtoe of a Written perrttit, to <br />avlda il9auranne such as is atrarded by this poUny- <br />A 9~#:"1'i0N II - VIfHG It3 AN iNSt1RBD Is amended ~ inaiude as an a~Wanal insured the i~ereon(s) .or <br />a~enizaifon(s) stwvvn in tho SCHEDIJL~, bt,# nnly with rasped da Ifabiilty fa' "bodaY ~inryr', <br />dam" ar "personal and advertleing rn)ur7t caused, In whole or In part. by: Y <br />1. Ycwr ecbg ar omissions; or <br />2, The acts or arrttsslons of those e~ctin;g on your behalf; <br />e~gnated above i~nolutled in ~?~9 operetlara$; and/or "your world' deNned #or the addltCa>al insu-ed(s) <br />P-~rnpfAted aperatlnns ha~ai+d". <br />B. tf you are requfnd by a writbsn cpRlTaCt to provide primary inaurarrce, this ~~Y sheA be pr <br />SECTION IY.. COfYlftAt:RCIAL DENaE"Ri4! LIABILITY Ct7NDl1'IAN8, III. plher Insurl~trce dose note arrd <br />only w-th respect b oovera8a Rmvided by this poly. apply, but <br />City of Santa Arta, it's officers, agents, employees <br />And volunteers as additions) insured(s). <br />TMs endorsement ettecttva 1Q/p1/~p(Ig <br />fairt-~s part Of policy Numb I..HA193526 <br />issued tq DiX~ DIESEL AND EL~CTRiC, rNC. <br />by landmark Amedcsn Insurance Company <br />R5Q 717 9207 Ie$ ~_~emgnt Na.; <br />(T185) G°py~h~i rnaterlal of Insuranna Services Offire, inc. 1984 <br />N-Iftt its p8rmiesion <br />