Laserfiche WebLink
<br />r <br />..... <br /> <br />., <br /> <br />'W <br /> <br />'wtI <br /> <br />INSURED: VIETNAMESE COMMUNITY OF ORANGE COUNTY <br />POLICY TYPE: LIABILITY POLICY NUMBER: 2002.04575 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFUllY. <br /> <br />ADDITIONAL INSURED. OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOllOWING: <br /> <br />SCHEDULE: 10-4.2002/ 10-4.2003 <br /> <br />NAME OF PERSON OR ORGANIZATION: CITY OF SANTA ANA, ITS OFFICERS, <br />AGENTS, EMPLOYEES AND VOLUNTEERS <br /> <br />( If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or <br />organization shown in the Schedule, but only with respect to liability arising out of <br />"your work" for that insured by or for you. <br /> <br />It is understood and agreed that this insurance is primary insurance and any other <br />insurance maintained by the additional insureds shall be excess only and not <br />contributing with this insurance. <br /> <br />THIS INSURANCE SHAll BE PRIMARY. <br /> <br />CG 20 10 11 85 <br /> <br />Copyright, Insurance Services Office, Inc 1984 <br /> <br />APPROVED AS TO FORM <br /> <br />