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Fe6- 25.2014 11:44 AM STATE FARM INSURANCE COMPANIES 863.316 -2198 2/2 <br />Palley No, 99,R4.6633.3 <br />FE 5000 <br />SECTION 11 ADDITIONAL INSURED ENDORSEMENT <br />Polloy No.: D6- 144.6632 -3 <br />Named insured: E4M zsc <br />9.036 nNGS Avg <br />O'ACK=WZLLE FL 32307 -9311 <br />Additional Insured (include address) <br />CITY 01' SANTA ANA <br />20 CIVIC CENTER PLZ 436 <br />BANTA ANA CA 92701 hose <br />APPROVED AS TO FORM <br />Laura A. Rossini <br />Assistant City Attorney <br />WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, in amended to include as on insured the <br />Addtilonal Insured shown Strove, but only to the extent that liability is Imposed an that Additional Insured solely <br />because of your work performed mr that Additional Insured shown above. <br />Any insurance provided to the Additional Insured shall anly apply with respect to a claim made or a suit brought for <br />damages for which you are provided coversgs. <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 shell be noncontributory with respect to <br />coverage provided to you. <br />All other policy provisions apply. <br />PE4539 <br />100090 :RgOaP 1 tr•r t•2313 <br />