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Aug 1914 03:54p <br />UUM Policy No.: 97 BZG429 7 <br />SECTION II ADDITIONAL INSURED ENDORSEMENT <br />Policy No.: 97 BZG429 7 <br />Named Insured: CENTER FOR HEARING HEALTH INC <br />Additional Insured (include address): <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />p.4 <br />FE-6809 <br />LED <br />WHO IS AN INSURED, under SECTION it DESIGNATION OF INSURED, is amended to include as <br />an insured the Additional Insured shown above, but only to the extent that liability is imposed on that <br />Additional Insured solely because of your work performed for that Additional Insured shown above. <br />Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a <br />suit brought for damages for which you are provided coverage. <br />The Primary Insurance coverage below applies only when there is an 'XI in the box. <br />® Primary Insurance. The insurance provided to the Additional Insured shown above shall be <br />primary insurance. Any insurance carried by the Additional Insured shall be noncontributory <br />with respect to coverage provided to you. <br />All other policy provisions apply. <br />FE-6609 <br />Printed in U S.A. <br />RECEIVE: N0.0640 08/19/2014/TUE 01 :33PM <br />