Laserfiche WebLink
<br />Oct-06-05 02:22pm From-ORIVER ALLIANT INS, C <br /> <br />6467562713 <br /> <br />T-470 P03/03 F-547 <br /> <br />- ~ <br /> <br />Endorsement. No.3 <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br /> <br />IT IS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABILITY AS SPECIFIED IN THE <br />DECLARATIONS OF THE POLICY. <br /> <br />SCHEDULE <br /> <br />NAMED INSURED: <br /> <br />FAMIUES TOGETHER OF ORANGE COUNTY <br />801 S, LYON ST. <br />SANTA ANA, CA 92705 <br /> <br />NAME OF PERSON OR <br />ORGANIZATION/CERTIFICATE HOLDE~: <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />20 CIVIC CENTER DRIVE <br />POBOX 1988 <br />SANTA ANA,CA 92702 <br /> <br />THIS INSURANCE IS PRIMARY AND ANY INSURANCE OR SELF INSURANCE <br />MAINTAINED BY SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE <br />TO IT, <br /> <br />PER. CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH THE COMPANY <br /> <br />EFFECfIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br />ATTACHED TO AND FORMING A PART OFPOUCY NO.: SLIP3000-OS <br /> <br />All other terms and conditions remain unchanged, <br /> <br />Insurer: <br /> <br />EVANSTON INSURANCE COMPANY <br />Spl!eial Liability Insurance Program (SLIP) <br />Effeclive September 29, 2005 to September 29, 2006 <br /> <br />DATE ISSUED: 10/6/05 <br /> <br />APPROVED AS TO FORM <br /> <br />& elL <br />Laura Slltt SLccdy <br />Assistant Cit.y ;\[/nf.;'iey <br /> <br />""vr~i:/II'...:!" ~_.._ <br />