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ENDORSEMENT :AGREEMENT <br />ADDITIONAL INSUEED EMPLOYER <br />STATE 092-12 000678 <br />RENEWAL <br />SG <br />FUND 2-15-69-53 <br />PAGE 1 <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE JANUARY 1, 2013 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE <br />AT 12.01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />JOHNSON-FRANK & ASSOCIATES <br />5150 E HUNTER AVE <br />ANAHEIM, CA 92807 <br />ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, <br />*,IT IS AGREED THAT <br />CITY OF SANTA ANA ITS OFFICERS &EMPLOYEES <br />IS HEREBY NAMED AS AN ADDITIONAL INSURED EMPLOYER ON THIS <br />POLICY BUT ONLY AS RESPECTS EMPLOYEES WHOSE NAMES APPEAR ON <br />THE PAYROLL RECORDS OF <br />JOHNSON-FRANK & ASSOCIATES <br />(HEREIN CALLED THE PRIMARY NSURED) WHILE THOSE EMPLOYEES <br />ARE ENGAGED IN WORK UNDER E SIMULTANEOUS DIRECTION AND <br />CONTROL OF THE PRIMARY INSU ED AND THE ADDITIONAL INSURED <br />EMPLOYER. <br />IT IS FURTHER AGREED THAT E PAYMENT OF THE FULL PREMIUM <br />DUE AND PAYABLE UNDER THIS POLICY SHALL REMAIN THE SOLE <br />RESPONSIBILITY OF THE PRIMARY INSURED. <br />i <br />iIt- <br />NOTHING IN THIS ENDORSEMENT CONTAINED ((SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS[ AGREEMENTS, OR LIMITATIONS OF THIS <br />POLICY OTHER THAN AS STATED. NOTHING , ELSEWHERE IN THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THEI TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS OF THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO-. JANUARY 14, 2013 0015 <br />I <br />AUTHORIZED REPRESENTA/IVE PRESIDENT AND CEO <br />OLD DP 217 <br />SCIF FORM 10217 (REV.1-20121 <br />