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UMR: UMR B1284 UB 24 A969A <br /> Effective date of this Endorsement: 519125 <br /> This Endorsement is attached to and forms a part of Policy Number: ZISMB2420 02 <br /> Zodiac Insurance,A World Company Referred to In this endorsement as either the"Insurer"or <br /> the"Underwriters" <br /> ADDITIONAL INSURED ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> ENTERTAINMENT EQUIPMENT OPERATOR GENERAL LIABILITY CLAIMS MADE AND <br /> REPORTED INSURANCE <br /> in consideration of the premium charged for this policy, it is understood and agreed that: <br /> 1. Section Ill. PERSONS INSURED is amended to include as an Insured the person or <br /> organization shown in the Schedule at paragraph 2. below, but only with respect to liability <br /> arising out of the Named Insured's operations or premises owned by or rented to the Named <br /> Insured. <br /> 2. SCHEDULE <br /> Name of Person or Organization: <br /> City of Santa Ana,its City Council, officers,officials, <br /> employees,agents,and volunteers <br /> Attn:Dario Gaitan,Police Department 60 Civic Center <br /> Plaza,M-23 <br /> Santa Ana,CA 92701 <br /> Event Date:07/24/25 <br /> Any person or organization for whom the Named Insured has agreed by written "insured <br /> contract"to designate as an additional insured subject to all provisions and limitations of this <br /> policy. <br /> (If no entry appears above, information required to complete this endorsement will be shown in <br /> the Declarations as applicable to this endorsement). <br /> All other terms and conditions of the Policy remain unchanged. <br />