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<br />~ <br /> <br />~ <br /> <br />ClHU.. <br /> <br />e <br /> <br />e <br /> <br />t.atJllity Insurance <br /> <br />Endorsement <br /> <br />PaRcy Period <br /> <br />9/1/04 - 911/05 <br /> <br />Effective Dafe <br /> <br />9/1/04 <br /> <br />PofJCy Numb9r <br /> <br />3529-32-50 <br /> <br />tnsured <br /> <br />Richards, Watson & Gershon <br /> <br />Name af Company <br /> <br />Vigilant Insurance Company <br /> <br />Data fssued <br /> <br />9/2/04 <br /> <br />I f <br /> <br />r r <br /> <br />. <br /> <br />GENERAL LIABILITY <br /> <br />This Endonement applies \0 the (ollowing (orms: <br /> <br />~.rJ1Jrr <br /> <br />Who Is Insured <br /> <br />Designated Person Or <br />Organization <br /> <br />Liab,fil't InlSuranC11 <br />Form aG-C2.2361 (Ed 4-94) <br /> <br />... <br /> <br />.Ii lrll 'l'r <br /> <br />.$If nfiso <br /> <br />u. <br /> <br />1 ~".... r llJ 1 . U"" <br /> <br />Under Who Is Insured, the following provision is added: <br /> <br />Any p.:r!;On or \Irganizulion d~si8naled below is an insur~ but only with re~cl to liability arising <br />I>UI oi your opemliol)j or premises owned by or rented M YOII. <br /> <br />Designaled Person Or Organization <br /> <br />City of Santa Ana <br />Office of the City Attorney <br /> <br />Twenty Civic Center Plaza <br /> <br />Santa Ana, CA 92701 <br /> <br />~k-~~7 <br /> <br />/ <br /> <br />-,/2 <br />L <br /> <br />Addinonal Insufed. Designated Person Or OrganiZlllion <br />EndoIs#m#n/ <br /> <br />conlinued <br /> <br />Page f <br />