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<br />Jan ~3 04 08:41a <br />JAN-22-2004 15:35 <br /> <br />T11ag1 <br />SPECTRUM RISK MGMT <br /> <br />POliCY #046LP1005236 <br /> <br />Evanston Ins. Co. <br /> <br />THIS ENDORSEMENT CHANGEIi THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED-oWNERS, LESSEES OR CONTRACTORS <br />(fORM C) <br /> <br />This endorsement modifies insuranev provided under the following: <br /> <br />COMMERCiAl GENERAL LIABIUTY COVERAGE PART <br />SCH!DULE <br /> <br />Name of Person or Organization: City of Santa Ana Its officers, employees, agents <br />and representatives <br /> <br />Re: Steam Clean & Pressure Wash Services for Downtown Santa Ana <br /> <br />AS PER WRITIEN CONTRACT <br /> <br />If no entry appears above. Information required to complete this endorsement Will be <br />shown in the Declarations as applicable to thi$ endorsement. <br /> <br />WHO IS INSURED (Section II) Is amended to Include as an insured the person or <br />organization shown in the schedule. but only with respect to liability rising out of "your <br />work" for that insured by or for you. <br /> <br />It is further agreed that such Insurance as Is afforded by the policy for the benefit of the <br />AdditiOnal Insured Showrl shall be primary insurance. and any other insurance <br />maintained by the Additional Insured shall be excess and non-contributory, but only as <br />respects any claim, loss or liability arising out of all the operations of the Named Insured, <br />and only if such dalm, loss or liability Is determined to be solely the negligence or <br />responsibility of the Named Insured. This covl rage is limited to "your work" completed <br />within the policy year. <br /> <br />"Insureds are advised thllt eertiflcates of insurance should be used only to <br />provide evidence of insurance in lieu of an actual copy of the applicable insurance <br />policy. Certificates should not be used to amend, expand. or otherwise alter the <br />terms of the actual policy" <br /> <br />IC02260501 <br /> <br />AJ?~J>/1 <br /> <br />p.3 <br /> <br />P.04/Ø5 <br />