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SCV0121192501 <br /> Additional Insured Amendment - CA 70 84 10 14 <br /> Policy Amendment <br /> This Endorsement modifies insurance provided under the: <br /> Business Auto Coverage Form <br /> Section II--Covered Autos Liability Coverage, A. Coverage, 1.Who is an Insured,the following is added: <br /> City of Santa Ana its City Council,officers,officials,employees,agents,and volunteers <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 <br /> However, such person or organization is an insured: <br /> (1) only with respect to the operation, maintenance, or use, of a covered auto; and <br /> (2) only for bodily injury or property damage caused by an accident which takes place after: <br /> a, you executed the insured contract or written agreement; or <br /> b. the permit has been issued to you. <br /> All other terms and conditions of the policy remain unchanged. <br /> This form must be attached to Change Endorsement when issued after the policy is written. <br /> One of the Allianz Global Risks US Companies as named in the policy. <br /> CA7084 10-14 <br /> Copyright©2014 Allianz Global Risks US Insurance Company.All rights reserved. <br /> 84939255 I CWFINCA-01 1 25-26 Master Certificate 24-25 WC I Sara Pewe11 14/22/2025 11:27:06 AM (PUT) I Page 2 of 9 <br />