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Feb -25 -2014 4144 AM STATE FARM INSURANCE COMPANIES 963.318 -2173 2/2 <br />Policy No, 9e -R4 °6632.3 <br />FE."02 <br />SECTION ll ADDITIONAL INSURED ENDORSEMENT ,,,.,, <br />Poilcy No,: 96-R4-6632-3 <br />Named Insured: ELM IYC <br />1035 K:NGB AVE <br />47ACKSONVSLLE FL 32207.8311 <br />Additional Insured (Include address); <br />CITY QF SANTA ANA <br />20 CIVIC CENTER PLZ M26 <br />SANTA ANA CA 92701 4058 <br />WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the <br />Additional Insured shown above, but only to the Went that liability Is imposed on that Additional Insured solely <br />bemuse 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 suit brought for <br />damages for which you are provided coverage. <br />The Primary Insurance coverage below applies only when there is an "X" in the box. <br />Primary Insurance, The Insurance provided to the Additional Insured shown above shall be primary <br />insurance. Any Insurance carried by the Additional Insured shall be noncontributory with respect to <br />coverage provided to you. <br />A J other policy provisions apply. <br />FE,3509 <br />008941 °g52971 iLf 47Ui3 <br />