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<br />,Feb ,14 06 12:58p Santa Ana Police Dept 714 245 80S8 p.5 <br />FE8. 2. 2005~lj.jHJ: 0<;~2..t FOO~ INt;~O~I~Q!ii"'" """'''''Wd6~';2' ""';'i''':a3J' ....r~~.L14~3;;i~.:.a~~.---- <br /> <br />p.TTACHMBNT :l <br /> <br />ADnmaNAL lNSTlR'Rn "'Nnn>>l:~ <br />:!lOB. mMMRlI~ o:aNll1UL LlAJJturY roLrCY <br /> <br />Iuunnoe CODIpIllY ~~....;.\. ~_... 'I.\.. .. ~ <br /> <br />Thi~ ~t mldfill/J Slldliuurpz II i, ~ by Ibo pmyi.~iv~ ofPc1lay <br />~........... .......,~..,.... ra1aIlq lllliul t'oIlowing; <br /> <br />L, Tile City of :lct! A:l1a, ZO CiVic 'Qeater Plall, SaIltI An-. CalifllIlJilL 92701: il5 QffiOIl.'ll. <br />IlDlplD}'lIClI. .gJ!IIIlll, 'Vo1untllcili 8lld trJilrelllllllltl:VlIll m nll1lCd.. Wdlti.......1 inIlmecla (lIadd1ttllJl&l <br />l'nJIll'Cdt") wiijl regaft! to lillbility 8lIlid#CIl8O of luih arili1lg from Ihe oplll'lltlOll8 :mil QBeS <br />pmfllClnOd by or on bchlllf of rbe nemtXlll\ii.U'cd; <br /> <br />:I. W1lhreQwlOclBims IIJi_DlItDithc~olllllld UiDlpadODDeCl byDroa bchlllfQfiho <br />lUIllled:lllalmld, IlIcb 11lllUl'l\llollu illflgrdlld bylhll polloy h primllry lIIId ill DOl addidoaal to OJ <br />cOl1tl1butill.g willl11DY othBr insurance c~ by or fur the boncfit Df tbCIldditiOlll1 i_d!. <br /> <br />3. 'l1Us iuSl1l'BllOll ~llIlIDplllf.lzlY 10 *11 inB1Il1ld aplnct wholn claiDl is ~ or suit iJ <br />bI:ou.ehl CJ.llOpt with reepgt:t to tha 17oJnPllllY'llimlll of liability. ~ j""hl';"lI of lllIY penon or <br />orPDizaliClO IlIllllln._ d1,lIl1a1i .nect 8I\Y rlgb.t whlcllllUCh person or orpniution wau14 <br />have II II cJlllmInt If Dol sa 1Dc1u&d. <br /> <br />4. Wi!b te&poGllo Ibo PlitWnll ~ 1hJlIln~a Ilbll!ll1ot b8 a_U~ or JlJ8t!l;ri1llly <br />Mda=d ill ~ or limllS llIoept "lhUt~(30) lilY" wrltt8l1llOlice llIIB been 1Ii~ to l'hIl <br />City of SlIIIl&An.I, 20 ClIIk Center P1aza. $aQta Ana, Califumia \12701, <br /> <br />(C""'IpI'"ioll of IhCI follllWiJII, iDlllllllill& COIU1l<<'iigaalUre. Is required to make this IlIllIonamtlIIt <br />efftl:l!.ve.) <br /> <br />Effective \ - '1.- ~..... 'llDJ clIl!orsCllllll1t {OIlDllU pan of <br />=~~~;\~~.::: <br />N~liIsU.rlld <br />::.'~C-~, "~4 <br />C~by:.,~,,;.," <br />Ail~~rclllllll8tlV1l <br />. <br /> <br />\. PPROV ED AS TO FORM <br /> <br />___i2!-3(3 <br /> <br />Laura Slitt Sheedy <br />A'il>l[;tant City Attorney- <br /> <br />S01l0 39\1d <br /> <br />~NDSllOCl <br /> <br />8~U T~~~EL <br /> <br />8t:pT qBBl/TBllB <br />