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07/28/2099 16:31 7145278898 STATE FARM <br />PAGE 93 <br />CoRO poltcy No„ 92-GA 8133-8 <br />eaflo FE- <br />SECTION II ADDITIONAL iNSURED ENDORSEMENT <br />,,,~...w <br />Policy No.: 92-QA 8133-8 <br />Named Insured: DEORC3E, MARIE DBA: ACT ONE ACAD!~MY OF DANCE <br />Additional insured include address}: <br />CITY OF SANTA ANA <br />THEIR OF~'iCERS & EMPLOYEES <br />886 W SANTA ANA BLVD StE 20Q <br />SANTA ANA CA 92709-4587 <br />WWO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as <br />an insured the Additional fnsurad shown above, but only to the extent that liability is Imposed on that <br />Additional Insured solely because of your work performed for that Additional Insured shown above, <br />Any insurance provided to the Additional Insured shall only apply v~ith respect to a claim made or a <br />suit brought for damages for which you are provided ooverage. <br />The Primary lnsura~nee coverag® below applies oniy when there i8 an "X" In the box, <br />Primary Insurance. The Insurance provided to the Additions( Insured shown above shall be <br />Primary insurance. Any insurance Carried by the Additional Insured shall be noncontributory <br />with respect t0 Coverage provided to you. <br />Ali other poltcy provisions apply, <br />FE~60R <br />Pdnled In Ef,S.A, <br />