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07/21/2010 01:57 8103050730 <br />Jul 21 2010 12.48PM HP LRSERJET FAX <br />01/21/2010 11'40 NX <br />Jul 21 2010 20:14AM HP LRSERJET FRx <br />BELLBMC <br />A,DDMONAL NSUMD E MORSEMENt <br />Irav�'efta► ComRany?'tA� aplec =t4LTY =tr Clt:a CE , COt4'�i4NY <br />PAGE <br />p.2 <br />wool /001 <br />F.t <br />Thltr endorsarnsnt modifies - such insurance a+ is afforded by the provlolone of Policy <br />a t raladnp to the following; <br />1. The City of SaMs Ana, 20 Clvio Center plaza, Santa Ana, Callfomla 02701; It oflioero, <br />smplayaes, alaenta and repreaentative ere named as addlllonal Insureds ('additional <br />Iffursdal with regard to 11011lty and dotense of 0ults arising tram the oporations end uses <br />performed by or on behalf of the named insured, <br />2. With reap001 to ciaime arising Out of the dperaticno and uses performed by or on tmVio r or <br />the named Insured, such insurance as 1= afforded by We polloy In primary And Is not <br />adc18onal 10 or 00ntribuline whh any 91her Insuranoo oarried by or for the We% of the <br />x0ohlortial insureds. <br />3. This InaurRrros Applies e6parately to each Iniurop tagalnst whom claim is made or suit Is <br />brought ermoept with respect to the oompany+s WNW of Ilablllty, The Inclusion of any person <br />Of OFOGNt:411err "ern Insured &hall not 2tfq,1A qny right whlotl suoh person or otgan4don <br />would have as a cfaimanl It not so InCluded. <br />4. With respect the additional Insureds„ this Inauralnfs shall not be cancelled, or marterlalfy <br />rwduced In coverage or Ing1te exeapt after thirty (3o) days written not;" hoe been given 10 <br />the City of Santa Ana, 20 Civet; Cantor pis=. Sam Ana, CdilforMa 92701. <br />MAMPIettan of the followlr,4, Ineiudlnp souptentgrnature, In rsqulred to Mks We eador>aprtlent MfaottVe,y <br />E!f'sotive 11aX10.111012011 this bndorsoment form a <br />e part 4t <br />Polley # MAX012007001030 <br />ruuwto BI11GUIL I �NTENANCE <br />Name nom` <br />Countww#l;nw <br />02/05 <br />