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Liabili#y Insurance <br />Endorsement <br />Policy Period MAY I, 2009 TO MAY 1, 2010 <br />Effective Date OCTOBER 19, 2(}09 <br />Policy IVtfmber 35f34-23-O~HZ <br />lnstlred TROXELLCOiVfMUNICATIONS,INC. <br />!Name of Company GREATNORTHERNINSURANCECOMPANY <br />Data Issued NOVEMBERIB, 2009 <br />Thi s Endorsement app! ies to the following forms: <br />GENERAL LIABILITY <br />Under ~Vho Is Ar- Insured, the following Provision is added: <br />Who Is Art Insured <br />SeheduledPerson Or Subject to all of the tcrtns and conditions of this insuranec, any person or vrganization shown in the <br />Organization Schedule, acting pursuant to a written contractor agrecrnentbcbvecnynu and such person or <br />organization, 3S An 111SU1'CC~ but they arc Ltsuredsonly with respect toliability arisingout ofyour <br />operations, or your premises, if you arc obligated, pursuant to such contract or agrccmcnt, to provide <br />thcrn with such insurance A.Y is atfordcdby thisPolscy. <br />However, no such person or organization is an insured with resPcetto any: <br />• assumption of Iiabilitybythcm in a con#ract or agrccmcnt. This limitation dots not apply to <br />the liability for clamagcs for injury or daniagc, to which this insuranccapPlics, that thcperson <br />or organization would have in the absence of such contract or agrccmcnt. <br />• damAgcsarisingoutofthcirsalcncgligcncc. <br />Schedule ' <br />CITY OF SANTAANA <br />20 C1V IC CENTERPLAZA <br />SANTAANA, CA 92701 <br />Liabilitylnsurance Additional Insured -Scheduled ~•~1L~~$~t>~1t9 continuetl <br />Form 80-02-236~'Rev 8-04) Endorsement <br />' Page 1 <br />