Laserfiche WebLink
<br />Oct-06-05 02:22pm From-DRIVER ALLIANT INS, C <br /> <br />9497562713 <br /> <br />T-470 P,03!03 F-547 <br /> <br />~ .. <br /> <br />Endorsement. No.3 <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br /> <br />lTlS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LIABIUTY ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED <br />SHALL NOr 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 />FAMllJES TOGETHER OF ORANGE COUNl'Y ' <br />801 S, LYON ST, <br />SANTA ANA, CA 92705 <br /> <br />NAME OF PERSON OR <br />ORGANIZATION/CERTIFICATE HOLDER: <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />20 CIVIC CENTl>R 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 TIlE COMPANY, AND ON FILE WITH THE COMPANY <br /> <br />EFFECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br /> <br />ATrACHED TO AND FORMING A PART OF POLICY NO.: SLIP3000-05 <br /> <br />AI! other terms and conditions remain unchanged, <br /> <br />Insurer: <br /> <br />EVANSTON INSURANCE COMPANY <br />Special Liability Insurance Program (SLIP) <br />Effective September 29, 2005 to September 29, 2006 <br /> <br />DATE ISSUED: 10/6/05 <br /> <br />~ ~a:.~ _..._.._ <br /> <br />APPROVED AS TO FORM <br />1'>3 2/z-' <br /> <br />Laura .';1 [(t Sheedv <br />AS~lstallt Cj!y Auor;-it;y <br />