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Liability Insurance <br />cHUEM <br />Endorsement <br />Policy Period December 30, 2003 to December 30, 2004 <br />Effective Date December 30, 2003 <br />Policy Number 3529-18-62 MTO <br />Insured MBIA, INC. <br />Name of Company FEDERAL INSURANCE COMPANY <br />December 29, 2003 <br />Date Issued <br />This Endorsement applies to the following forms: <br />GENERAL LIABILITY <br />Under Who Is Insured, the following provision is added: <br />Who Is Insured <br />Designated Person Or Any person or organization designated below is an insured but only with respect to liability arising <br />Organization out of your operations or premises owned by or rented to you. <br />Designated Person Or Organization <br />Endorsement applies to General Liability — The following is added as an <br />additional insured — The City of Santa Ana, its officers, servants, <br />employees and agents as additional insureds with respect to the work <br />performed by the named insured as required by contract. <br />Liability Insurance Additional Insured - Designated Person Or Organization <br />continued <br />Form 80-U2-2967 (Ed. 4-94) Endorsement <br />Page 1 <br />