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Additional Insured — Owners, Lessees or Contractors — AB 90 67 12 93 <br />Policy Amendment Section It <br />Insured: Yorba Regional Animal Hospital <br />Producer Veterinary Ins Services Co <br />Schedule <br />Name of Person(s) or Organization(s) <br />Policy Number AZC80896954 <br />Effective Date 05/01/14 <br />City of Santa Ana — as required by written contract <br />20 Civic Center Plaza, M29 <br />Santa Ana, CA 92702 <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 1— WHO IS AN IN- arising out of your work for that insured by or for <br />SU RED in the Business Liability Section of this policy you. <br />5. The person or organization shown in the Schedule All other terms and conditions of the policy apply. <br />is also an insured, but only with respects to liability <br />This form must be attached to Change Endorsement when issued atter the policy is written. <br />One ofthe Fireman's Fund Insurance Companies as named in the polio}. <br />Saffy B. Nark_ <br />Secretary <br />QMM <br />Authorized Agent <br />A89067 12-93 <br />Conums cappighted Walerial of Insurance Services Onices, Inc., 1984 <br />gwkfraeCe Laaocco <br />President <br />Date <br />07/02/14 <br />