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Fe•ssc9 <br />Page 1 of 1 <br />r t• s s j(► IiF3i1fTzr+7A x•;, a 4►Fili <br />Policy No.: 92 -EX -5166-6 tea„ ••n» <br />Ne dtnsured, <br />WESTERN MING <br />1576 N BATAVIA ST STE 2 <br />ORANGE CA SP867.3559 <br />Additional Insured (include address); <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />WHO IS AN INSURSD, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the <br />Additional Insured shown above, but only to the extent that liability is Imposed on that Additional Insured solely because <br />of your work performed for that Additional Insured shown above. <br />Any insurance provided to the Additional Insured shall only apply with respect to a claim made or suit brought for <br />damages for which you are provided coverage. <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 Insurance. <br />Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to <br />you. <br />All other provisions of the policy appty. <br />CFYEVIF-41 gI ".j.V�d,'U 0.JY: E11fJICF I•iC1�.�EA (e'GZ=0 <br />25A <br />