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SH Policy No. 92 -Bo -0091-3 FE tT1Lg11 <br />STATE FARM GENERAL INSURANCE COMPANY <br />BLANK ENDORSEMENT <br />This endorsement effective OCT 02 2008 1 the effective hour being the same as that designated in <br />the policy to which this endorsement is attached, forms apart of Policy No. 92-30-00.91-3 issued to <br />GOLD COAST APPRAISALS INC <br />--Loan No. <br />❑ YOUR POLICY IS CHANGED AS FOLLOWS: <br />I Insured's Name <br />5 <br />Location <br />2 Insured's Address <br />6 <br />Construction <br />3 Effective Date <br />7 <br />Mortgagee or Lienholder's Name <br />4 Expiration Date <br />8 <br />Mortgagee or Lienholder's Address <br />9 Other (Specify) <br />NAME OF PERSON OR ORGAN--ZATION: CITY OF SANTA ANA HOUSING <br />SERVICES M-37 <br />C/O TERRY GILBRETH <br />20 CIVIC CENTER PLZ OM -37 <br />SANTA ANA CA 92701 4058 <br />THIS ENDORSEMENT IS MADE A PART OF THE POLICY SHOWN ABOVE, SUBJECT TO ALL OTHER TKLNS AND <br />CONDITIONS. <br />THE INSURANCE AFFORDED TO THE ADDITIONAL INSURED AS SET FORTH IN THE, FE -6320 <br />ENDDRSENSNT SHALL BE PRIMARY INSURANCE, BUT ONLY WITH RESPECT TO MAIM MADE OR SUITS <br />BROUGHT FOR DAMAGES FOR WHICH OUR NAMED ZNSURED IS PROVIDED COVERAGE, AND WHICH ARISE OUT <br />OF OUR NAMED INSURED'S ONGOING OPERATIONS. ANY INSURANCE CARRIED BY THE ADDITIONAL <br />INSURED SHALL HE NON-CONTRIBUTORY AS RESPECTS COVERAGE AFFORDED FOR OUR NAMED INSURED. <br />NO CHANGE IN PREMIUM: <br />CHANGE IN PREMIUM: ❑ INCREASE ❑ DECREASE <br />ENDORSEMENT PREMIUM: $ <br />FULL TERM PREMIUM FOR ENDORSEMENT: $ <br />applies. <br />FE -731&t <br />112M) <br />The following Form Numbers are attached to and torn a <br />part of your policy. <br />The following Form Numbers are voided and no longer <br />forth a pat of your policy, <br />Agent —`Lz) 2/ 6;n Z;-7 <br />PMxd in U. SA <br />