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<br />FEr 07 2002 10:10AM <br /> <br />HP LASERJET 3200 <br />T~No.5629850046 <br />,-'~"' " . .,... f ~ <br />',J . <br /> <br />F'-f. 4,02 15:38 <br />.iJILIi'I[ SO"0'..1I:. . <br /> <br />F.e: <br />No .006 P.03/1)4 <br /> <br />UNITED BROKERS, INC. <br /> <br />PtV:.L n~' <br /> <br />AODlTlor-tAL lNSUHED I::NDC.,lRSCMENT <br /> <br />-III !JUr iHlCO Comp any ..R!!IJ!UJ~PBD\ .1!ID~,,!.!.Ip~~. 'en.. ____ <br /> <br />This enrlorsnmell{ mCldlfle:l such Insurance <15 Is arrorded by the provinionl:> of Polic)' <br />II. 'PHPKOl5656-..- IIllatil1%l to ttle foll~)wll1g; - <br /> <br />'I. 111e City of SelLIn Ani.!, 20 Civic CElI1lEr .'Ivza, ::janta Ana, Calitornin 92/01; <br />it:l officem, UJllploj'06S. agl~lts nnd ropre~ElntallVo;s era r1ilmecl 8S additional Insurl;Jds <br />('<ldtiitionol Im;\.lreds') wIth reg<lrd to llabiHly and dlJfenso of suils arlslnc from tho <br />oper;.IINI$ and u~'()s plJrlorme,d by or on hah:aU or thO named insured. <br /> <br />2. WillI rospect to claims arising u\.11 01 'the operations llnd 1.15e5 performod by <br />or ofll.>ohalf of the rlnmecJ iosUfeel. suetl insur~In::e. us is arlerded by this polic;;y 15 primary <br />. {1m] Is nol addilionel to or contrlb4;tinn wilh lilllY olher inf1l1nmce carrlod by or for tho <br />Lormlit of tile additiollflllnsurods. . <br /> <br />:'1, 'I hiS Insurance l~ppl1e!;; sE'p....e.tely tel ODell Ulsurc:d against whom cl21irn it. <br />~tI(I('l'\ or nult Is. IJrOlJghl eXc()pl wlll1 respect te, tho ctlltlpclny's "mIls ()( liaLJility. The <br />1I1c1ur.lon of ClflY pe.'mon or orQant.;~ntlon E\S an hlSuled flhall not affel.,'1: any rig! 1\ which such <br />porsOI1 or orgMization would hnve as l.l claimant if not so Ine~l)ded. . <br /> <br />4. WlUl rQSpect to tile llddltlonallnsun~ds, this Insutunce she.!l not be C21lcallcd, <br />or materially roducod in coverago Qr IImlls except after tlllrty (3el) days wrJlIan noUce has <br />bean glvcn \0 the CIty of SMm Ana, 20 Civic Canter Plaza, Snnta Ana,.California 92701. <br /> <br />(Completion of tllo follOWing, IIr1cludlllg OOl.ll\terslSlni!tl1~'s-. Is required to rnak~ this <br />endorsement etflJctlvO.) <br /> <br />Effective <br /> <br />Q:i/22/ 20ll2.. <br /> <br />. . <br />, this Illldor!.iernont lonn ~~ a piH1 o( <br />-- <.-.- <br /> <br />POlicy # PHPK015656 <br />,-- ".--.' ~-_. <br /> <br />,-~-_.._- <br /> <br />Issuatl \0 11Ol'LINE or' SOIJI'HERN CALIFORNIA <br />.. -. ---n a mCtfiri t'ltralf'" ..- ....--., <br />~- , <br />Cotlf.lter:;rYfled by'_.__. J /'::..~~~f.:::-~~(~ II>' -:-' <br /> <br />tXHll.lI.r tJ <br />