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Additional Insured — Owners, Lessees or Contractors — AB 90 67 12 93 <br />Policy Amendment Section 11 <br />Insured: Advanced Critical Csre 8c Inter Policy Number AZC80853323 <br />Producer Veterinary ins Services Co Effective Date 07/01/10 <br />Schedule <br />Name of Persons) or Organizations) <br />City of Santa Ana <br />(If no entry appears above, information required to complete this Endorsement will be shown in the Declarations <br />as applicable to this Endorsement) <br />The following is Added to Part I —WHO IS AN IN- arising out of your work for that insured by or for <br />SURED in the Business Liabi {ity Section ofthis policy you. <br />5. The person or organization shown in the Schedule All other terms and conditions of the policy apply. <br />is also an insured, but only with respects to liability <br />This form must be attached to Change Endorsement when issued after [he policy is written. <br />One of the Fireman's Fund Inauranee Companies as named in the policy. <br />.S ffi. 'X67,y 9KtC%taeC�E La4eocco <br />Secretary � � � President <br />Art Criss , I orzsn o <br />Authorized Agent � Date .. <br />AB9067 12 -93 <br />Con4ins oopyrigh[ed M�toial of Insunnoa Swius Offiop. Inc.. 1984 <br />i' <br />�'� <br />r <br />