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6028-BU Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY. 6028BU ADDITIONAL INSURED(Prior Notice of Termination) This endorsement modifies insurance provided under the following: AUTOMOBILE INSURANCE COVERAGE FORM SCHEDULE POLICY NUMBER: 648 9314-FO6-75A&648 2854-F06-75A NAMED INSURED: Anguiano,Juan QBA Angulano Lawn Care PO BOX 2849 Seal Beach,CA 90740 Name and Address of Additional Insured Person or Organization: City Of Santa Ana Attention:CIP Engineering 20 Civic Center Plaza,M-36 Santa Ana,Ca 92701 "City of Santa Ana, its City Council,officers,officials, employees,agents,and volunteers" This endorsement is a part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. 1.A person or organization shown on the Declarations Page as an Additional Insured is provided Liability Coverage, but only to the extent that person or organization qualifies as an insured as defined in Liability Coverage. 2. An Additional Insured has the same right of recovery under Liability Coverage as if they had not been shown on the Declarations Page as an Additional Insured. 3.If Liability Coverage is changed or terminated as to the interest of the Additional Insured,unless another number of days notice is shown on the Declarations Page, we will provide the Additional Insured; a. 10 days notice of such change or termination if the policy is nonrenewed or the cancellation is for nonpayment of premium; and b. 20 days notice of such change or termination if the cancellation is for any reason other than All other policy provisions apply. 6028-BU ©, Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office, Inc.,with its permission i