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Insurance Company Starr Indemnity & Liability Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># 1000025225141 relating to the following: <br />1. The City of Santa Ana, its officers, employees, <br />f 4 +- r!! wf _ + — <br />/ <br />benefit 2. With respect to claims arising out of the operations and uses performed <br />by or on behalf of the named insured, such insurance as is afforded by this policy is <br />the <br />3. This insurance applies o <br />i• or suit is brought except M the company's limits of liability. The <br />4. With respect to the additional insureds, this insurance shall not be <br />Plaza, Ross J. M-93, Santa Ana, - A <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective,) <br />Effective 10/29/2014 this endorsement form as a part of <br />Policy# 1000025225141 <br />Issued to Herman Weissker, Inc. <br />_ _ Gamed Insured) <br />a��e <br />Countersigned by--- <br />(Authorized Representative) <br />Dev/Forms[Addllnsuredfo m <br />TENT NO.: 22144911 Criatin Nolette 10/29/2014 11:48:03 AM (PUT) Page 3 of 6 <br />