Laserfiche WebLink
Mar 17 05 03:31p Boys & Girls Club Of Sant 714 -565 -1099 <br />Mar 17 aS 02:46P Boys a Girl& Club Of Sant 714 - 565 -1099 <br />rrI— �.�perp �L- ..lei+o r.fun ,yxvrn NrW raW rte. .rw pSO r33tl <br />LXWKT s <br />' � � i •i�.__ if . )' .'tl 7. 4a� �s�.a.t <br />msrganoc Campmy ;y:7" -e ✓S <br />Tbis eedaawoew rrlodifies such insurance ss is afforded by the provisions of Policy <br />OF 'd cg 7fAfA73-9r- MI ei T6 to am follow: <br />I. Tbc City of9sslu Ana, 20Ci*CarterPM24 Santa, Ana, Cilifamis <br />92701; its offieas, aaployen, agents, volunteers ad tepmseatadves arc named as <br />r1di6wmd iaaueds ("additional iosumde) with regard t9 liability and defense of suits <br />a» sing 11om the aperatitars and uses pafatned by ox on behalf of the named instaed. <br />2. With respect to clams arising out of dw operations and um 9afomaoed by <br />or are beholfof tlto blamed messed, such i as is a9oided by Ilia policy is panaarY <br />and is slat addniaW to or combi- oatiag whh my new instsra "carried by or for Ma <br />benefit of do additional i nsuredi. <br />3. This isleutmoe 9ppliu separately to each insured against whom claim i$ <br />leaflet of wit is breuglat eaceptwith tespeet to the aaoP=3($ limits of ti WW— The <br />imivaiew of anypenon or arpoizalion was iaaurad IWI mot affset any right which such <br />poison or orgammtion would have as a eMdenaat if not m iooluded. <br />4, with reapeat to the additional iaauralt, ads iossraere stia11 nor be <br />catheWed, or materially rodooed in coverage of limits amopt after lbit y (30) days wridea <br />notice bas bean Sivas to the City of Santa Ana, 20 Civic Center PLaa, Salta Ana, <br />California 92701, <br />(COwp1669n Of tlw f011aWin& wicludhlg ealmteaatgnaWt4 is requinad to mire this <br />eadoraemem etIlIG&a.) , <br />Policy #. <br />Issued to <br />this eodorscmaa ibmi as a part Of <br />APPROVED AS TO FORM <br />aura Stitt Sheedy <br />Assistant City Attorney <br />p.2 <br />p.2 <br />ZB /Zo 39Vd 13av911d3d3H 6895 -SIZ -606 e9:91 WOO /CI /E6 <br />