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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 1 <br />POLICY NUMBER <br />POLICYCHANGES <br />COMPANY <br />EFFECTIVE <br />UCM 5342097 <br />09/09/2015 <br />SENECA INSURANCE COMPANY, INC. <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />OC Labor Federation <br />Barney & Barney A Marsh & McLennan <br />309 N. Rampart St., Unit A-E <br />Agency LLC Cc <br />Orange, CA 92868 <br />101 Enterprise Drive <br />Suite #330 <br />Aliso Viejo, CA 92656 <br />COVERAGE PARTS AFFECTED <br />Commercial General Liability <br />WINS Entry GBRUNO 9/14/20115 <br />CHANGES <br />It is understood and agreed <br />that the City of Ana is added to the policy as Additional <br />Insured as per added and attached <br />following forms: <br />CG 20 26 (04/13) Additional <br />Insured - Designated Person Or Organization <br />CG 20 01 (04/13) Primary And <br />Noncontributory - Other Insurance Condition <br />F/C $50.00 <br />Additional I otal Premium: <br />IL 12 01 11 85 <br />$50.00 <br />Authorized Representative Signature <br />Copyright, Insurance Services Office, Inc., 1983 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />Page 1 of 1 ❑ <br />Direct Bill <br />