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M-5887(08/2017) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED ENDORSEMENT <br /> This endorsement modifies insurance provided under the following; <br /> BUSINESS AUTO COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> SCHEDULE—ADDITIONAL INSURED; <br /> City of Santa Ana,its City Council,officers,off <br /> Parks,Fleet,Facilities&Refuse <br /> 20 Civic Center Plaza,M-11 <br /> Santa Ana,CA 92701 <br /> A. In consideration of payment of the additional premium listed below, LIABILITY COVERAGE is extended to <br /> include the additional insured named herein,provided that: <br /> 1) such insurance applies only to the ownership, maintenance or use of a covered"auto';and <br /> 2) such insurance applies only to acts or omissions by you,your agents or your"employees"while such <br /> covered auto is being used in your business;and <br /> 3) such insurance does not apply to the acts or omissions of the additional insured or any of the additional <br /> insured's agents or"employees"other than you;and <br /> 4) such insurance does not apply if the additional insured is subject to motor carrier insurance requirements <br /> and is not insured for hired"autos"under an"auto"liability insurance form that insures on a primary basis <br /> the owners of the"autos"and their agents and"employees"while the"autos"are being used exclusively <br /> in the additional insured's business and pursuant to operating rights granted to the additional insured by a <br /> public authority. <br /> B. The insurance afforded to such additional insured: <br /> 1) Applies only to the extent permitted by law;and <br /> 2) Will not be broader than that which you are required by a contract or agreement to provide for such <br /> additional insured. <br /> C. The most we will pay on behalf of the additional insured is the lesser of the amount of insurance: <br /> 1) That you are required by a contract or agreement to provide for such additional insured;or <br /> 2) That is available under the applicable Limits of Insurance shown in the Declarations. <br /> All other terms,conditions and agreements remain unchanged. <br /> Additional Premium: $ 11 <br /> Company Name Policy Number 72 APS 123295 <br /> National Fire&Marine Insurance Company Endorsement Effective <br /> 1110512025 3:08 PM <br /> Named Insured Countersigned by <br /> IBRUCE ANDERSON ENTERPRISES INC 090� <br /> (Authorized Representative) <br /> (The Attaching Clause need be completed only when this endorsement Is Issued subsequent to preparation of the policy.} <br /> M-5887(08/2017) 1112112025 <br />