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<br />Oct-06-05 02:22pm From-DRIVER ALLIANT INS, C <br /> <br />9497562713 <br /> <br />T-47O P 0,/0, F-547 <br /> <br />..... ~ <br /> <br />Endorsement. No.3 <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br /> <br />!TIS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S) HEREUNDER <br />BUT ONLY AS RESPECTS LIABUlTY ARISING OUT OF THE OPERATIONS OF THE NAMED <br />INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL lNSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABUlTY 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 AN.... 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 CENTCR DRIVE <br />POBOX 1988 <br />SANTA AN....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 />EFFECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br /> <br />ATIACHED TO AND FORMING A PART OF POLICY NO.: SLIP3000-05 <br /> <br />All other terms and conditiOltS remain unchanged. <br /> <br />In.surer: <br /> <br />EVANSTON INSURANCE COMPANY <br />Spl!cial Liability Insurance Program (SUP) <br />Effective Seplember 29, 2005 to September 29, 2006 <br /> <br />DATE ISSUED: 10/6105 <br /> <br />APPROVED AS TO FORM <br /> <br />&2/<.- <br /> <br />Laura SI HI Sheedy <br />ASSIstant City AUUD_CY <br /> <br />I\J ~-","-_.._.... <br />