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1932013(10143 700369 <br />F1011,eymumbar: AS2-681-004-145-725 <br />Issued by- 4jberty mutual gj.re Insurance co, <br />':ZVA��Idf 7-UriANZ-FSTHE POLICY. PLIFASE READ IT CAREFULLY. <br />DESiGNATED INSURED - NONCONTRIBUTING <br />This endorsement modifies insurance provided under the foffowjng: <br />BUSINESS AUTO t',0VERAGF FORM <br />GARAGE COVSRACj: rZORM <br />MOTOR CARRIERS C0VFPAGFF0kM <br />TRUCKERS COVERAI, E IZOF�M <br />With respect to Mve�nagp provided by this endarsenient, the Provisions of the Coverage Form apply unless <br />modified by this endorsement <br />This endorsement identifies, person(s) or organization(s) who are "insureds" under the Who Is An Insured <br />Provision of the Coverage Form. 1'iijs endorsement does not alter coverage provided in the Coverage forma. <br />City Of Santa Ana, 'Ls Officers, emP]QYec-,,, qgents and represenLcjtivc.,� <br />Each person or organizatlon shown in the Schedule of this endorsement is an 'insured" for UaWy Coverage, but Drily to the extent that perscri or Organization qualifies as an Insured" under die ilk o Is An Insured Provision <br />Contained in Sartion If of ffie Coverage Form. <br />The following is added to the Other Insurance Conditioll, <br />If You have agremed fil a wjjtterj agrcoment t9,iat fjjit ')y (�4CY Will L* PdMat), and Wfthout right cdf core utution <br />from any rnsvrance in force for an Ad(fitioria� Insmnad for fizilAfty arW rig out of your operations, and the <br />agreement was executed prior to the "bodily injury" Or 'property darnage", then this insurance will be <br />primary and we will not seek contribution from such insurance. <br />AC 84 2'3 00 11 (�) 2010,, Ub:erty Mutual GfOuP of Companies, All rights reserved, Page I of I <br />Includes copyrighted material of Ihsairance Services Officta, Inc, <br />with As Permission. <br />F,'EVVVED BY: <br />