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<br />0~t-O~-05 02:22pm From-DRIVER ALl "~T INS, C <br /> <br />9497562713 <br /> <br />T-47D POS/OS F-547 <br /> <br />Endorsement. No.3 <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br /> <br />IT IS 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 INSURED <br />SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABIUTY AS SPECIFIED IN THE <br />DECLAAATlONS OF THE POLICY. <br /> <br />SCHEDULE <br /> <br />NAMED INSURED: <br /> <br />FAMIUES TOGETHER OF ORANGE COUNTY <br />801 S. LYON ST. <br />SANTA ANA, CA 92705 <br /> <br />NAME OF PERSON OR <br />ORGANIZATION/CERTIFlCATE HOLDER: <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENcY M-25 <br />20 CIVIC CENTER DRIVE <br />PO BOX] 988 <br />SANTA ANA,CA 92702 <br /> <br />THIS INSURANCE IS PRIMARY AND ANY lNSURANCE OR SELF INSURANCE <br />MAINTAINED BY SUCH ADDITIONAL INSUREDS SHAll NOT CONTRIBUTE <br />TOrr. <br /> <br />PER CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY, AND ON FILE WITH TlfE COMPANY <br /> <br />EFFECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 <br /> <br />ATTACHED TO AND FORMING A PART OF POUCY NO.: SLIP3000-05 <br /> <br />All other tenns and conditions remain unchanged. <br /> <br />Insurer: <br /> <br />EVANSTON INSURANCE COMPANY <br />Special Liability Insurance Program (SLIP) <br />Effective September 29, 2005 to September 29, 2006 <br /> <br />DATE ISSUED: 10/6/05 <br /> <br />APPROVED AS TO FORM <br /> <br />1>3 Z/z.- <br />Laura Stitt Sheedy <br />A.S:>lslant City AltOf!lCY <br /> <br />III ,,_.._ <br />