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0ct-06-05 02:22am <br />From -DRIVER ALLIANT INS, C <br />9497562713 <br />Fsn o eme_ n_ t No. 3 <br />T-470 P. 03/03 F-547 <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 (S TIME 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 />SCHEDULE <br />NAMED INSURED• FAMILIES TOGETHER OF ORANGE COUNTY <br />801 S. LYON ST. <br />SANTA ANA, CA 92705 <br />NAME OF PERSON OR <br />_ORGANIZATION/CERTIPT ATP gOlrER <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />20 CIVIC CENTER DRIVE <br />PO BOX 1988 <br />SANTA ANA,CA 92702 <br />THIS INSURANCE IS PRIMARY AND ANY INSURANCE OR SELF INSURANCE <br />MAINTAINED BY SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE <br />TO IT. <br />PER CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH THE COMPANY <br />EFFECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br />ATTACHED TO AND FORMING APART OF POLICY NO.. SLIP3000-05 <br />All other terms and conditions remain unchanged, <br />Insurer: EVANSTON INSURANCE COMPANY <br />Special Liability Insurance Program (SIE) <br />Effective September 29, 2005 to September 29, 2006 <br />DATE ISSUED: 1016105 <br />APPROVED AS TO FORM <br />z/Z <br />Laura Stitt Shcedy <br />""'. • Assistant City Batt.^,racy <br />