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Additional Insured — Owners, Lessees or Contractors — AB 90 67 12 93 <br />Policy Amendment Section 11 <br />Insured: Serrano Animal & Bird Hospital Policy Number AZC80876144 <br />Producer Veterinary Ins Services Co Effective Date 07/01/12 <br />Schedule <br />Name of Person(s) or Organization(s) <br />City of Santa Ana, its officers, agents and employees <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <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- <br />SURED in the Business Liability Section of this policy <br />5. The person or organization shown in the Schedule <br />is also an insured, but only with respects to liability <br />arising out of your work for that insured by or for <br />you. <br />All other terms and conditions of the policy apply. <br />This form must be attached to Change Endorsement when issued after the policy is written. <br />One of the Fireman's Fund Insurance Companies as named in the policy. <br />_& (. Nara <br />Secretary <br />Authorized Agent <br />AB9067 12-93 <br />Contains copyrighted Material of Insurance Services Offices, Inc., 1984 <br />9ticfra, e_t E.�cco _ <br />President <br />Date <br />6128112 <br />