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Additional Insured — Owners, Lessees or Contractors — AB 90 6712 93 <br />Policy Amendment Section 11 <br />I s r : <br />Serrano Animal & Bird Hospital <br />Policy Number <br />AZC80917400 <br />Prqduce <br />Veterinary Ins Services Cc <br />Effective Date <br />07/01/17 <br />Schedule <br />Name of Person(s) or Organization(s) <br />City of Santa Ana, Its officers, agents and employees <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />City of Santa Ana, Its officers, agents, employees representatives are included as additional <br />insureds. <br />"The insurance provided under this policy is primary and non-contributory with any other <br />insurance available to the additional insured. This insurance applies .separately to each <br />insured against whom claim is made or suit is brought except with respect to the company's <br />limit of liability. The inclusion of any person or organization as an insured shall not affect <br />any right which such person or organization would have as a claimant ifnot so included." <br />30 Days Notice of Cancellation/10 Rays Notice of Cancellation for Nonpayment of Premium <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. <br />SURER in the Business Liability Section of this policy <br />5. The person or organization shown in the Schedule <br />is also an insured, but only with respects to liability <br />arising Out of your work for that insured by or for <br />you. <br />All other terms and conditions of the policy apply. <br />?his form must be attached to Change Endorsement when issued after the policy is written. <br />One of the Fireman's Fund Insurance Companies as named in the policy. <br />SAO Na <br />Secretary <br />4� <br />Authoriz Agent t! <br />AH9067 12.93 <br />Cootaim copyrighted Material or Insurance Services Offices, im ,19S4 <br />(rcfiaere .G &Cco <br />President <br />Data.. <br />\'l1' <br />