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AL£X W KOUTSOUBAS pR99RAg0111A ® <br /> 9036 RESEDA BLVD#105 COWNERC= <br /> NORTHRIDGE,CA 91324 <br /> Policy number: 993140787 <br /> Underwritten by: <br /> United Financial Cas Cc <br /> Insured: <br /> Ron Shashua <br /> Ron 5hashua <br /> 18440 HATTERAS ST <br /> LOS ANGELES,CA 91356 May 8,2025 <br /> Policy Period:Feb 14,2025-Aug 14,2025 <br /> Mailing Address <br /> United Financial Cas Cc <br /> PO Box 94739 <br /> Additional insured endorsement Cleveland,CH44101 <br /> 1-800-444-4487 <br /> Name of Person or Organization For customer service,24 hours a day, <br /> CITY OF SANTA ANA ITS CITY COUNCIL, OFFICERS, EMPLOYEES,AGE 7 days a week <br /> 20 CIVIC CENTER PLAZA <br /> SANTA ANA, CA 92071 <br /> This endorsement modifies insurance provided under the commercial auto policy and any endorsements <br /> thereto affording liability coverage. <br /> The person or organization named above is an insured with respect to such liability coverage as is <br /> afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of <br /> another insured and then only to the extent of that liability. We also agree with you that insurance <br /> provided by this endorsement will be primary for any power unit specifically described on the <br /> Declarations Page and showing liability coverage. <br /> Limit of Liability <br /> Bodily Injury Not applicable <br /> Property Damage Not applicable <br /> Combined Liability $100,000 each accident <br /> All other terms, limits and provisions of this policy remain unchanged. <br /> This endorsement applies to Policy Number:993140787 <br /> Issued to(Name of Insured):Ron 5hashua <br /> Effective date of endorsement:May 7, 2025 Policy expiration date:August 14, 2025 <br /> Form 1 198 0711 6) <br />