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Additional Covered <br />Party Endorsement <br />Endorsement No. <br />District: Downey Unified School District <br />62904120 <br />Additional Covered Party: <br />Description of Operations, Vehicle, or Property: <br />City of Santa Ana <br />As respects to agreement with City of Santa Ana and Downey Adult School <br />is officers, officials, employees, and volunteers are to <br />e covered as additional insureds on the CGL policy <br />ith respect to liability arisingg out of work or operations <br />erformed by or on behalf ofthe Contractor including <br />aterials, parts, or equipment furnished in connection <br />ith such work or operations <br />Coverage Period: Effective:7/1/2021 <br />Expires 12:01 a.m.: 7/1/2022 <br />The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above <br />in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only <br />with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by <br />ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party. In issuing this endorsement, ASCIP <br />intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the Additional Covered Party named <br />above only to the extent that the Additional Covered Party faces liability arising out of claims, demands, or lawsuits claiming money <br />damages on account of bodily injury or property damage as defined and limited in the ASCIP MOC. The limits of liability extended <br />to the Additional Covered Parry listed above is $5,000,000 per occurrence for liability. Such insurance as afforded by this policy <br />shall be primary, and any insurance carried by the Additional Covered Party named above shall be in excess and non-contributory. <br />Authorized Representative: <br />Date Issued:7/15/2021 <br />ASCIP is a joint powers authority pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government <br />Code and Sections 39603 and 81603 of the Education Code. <br />Rev 5/97 <br />�oRaN Risk MmRgzmentDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />62904120 1 15 121/22 All Types I Nancy Lopez 1 7/15/2021 10:33:45 AM (PDT) I Page 2 of 2 <br />