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<br />0~t-06-05 02:22pm From-DRIVER ALLIANT INS, C <br />. .. <br /> <br />9497562713 <br /> <br />T-470 P 03/03 F-547 <br /> <br />Endorsement. No.3 <br /> <br />ADDITIONAL INSURED - :DESIGNATED PERSON OR ORGANIZATION <br /> <br />lTIS 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 lNSURED <br />SffALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABIUTY AS SPECIFIED IN THE <br />DECLARA TrONS OF THE POLICY. <br /> <br />SCHEDULE <br /> <br />NAMED INSURED: <br /> <br />FAM1UES 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-2S <br />20 CIVIC CENTBR DRIVE <br />PO BOX] 988 <br />SANTAANA,CA 92702 <br /> <br />THIS INSURANCE IS PRIMARY AND ANY INSURANCE OR SELF INSURANCE <br />MAINTAINED BY SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE <br />1'011', <br /> <br />PER CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH T1fE COMPANY <br /> <br />EFFECTIVE DATE OF THIS ENDOIlSEMENT: 09/29/05 <br /> <br />ATrACHED TO AND FORMING A PART OF POLICY NO.: SL1P3000-05 <br /> <br />All other terms and conditions remain IUIchanged. <br /> <br />Insurer: <br /> <br />EVANSTON INSURANCE COMPANY <br />Spl!cial Liability Insurance Program (SLIP) <br />Effective: Seplembcr .29, 2005 to September 29, 2006 <br /> <br />DATE ISSUED: IW&05 <br /> <br />APPROVED AS TO FORM <br />1>3 2/z.. <br /> <br />Laura Stitt Sheeey <br />As~islant City AUnryu:y <br /> <br />III t.~~. ~_.._..._ <br />