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This Endorsement Modifies Your Policy <br />(Effective At Inception Unless Another Date Shown Below) <br />ADDITIONAL INSURED ENDORSEMENT <br />The insurance afforded by this policy for "bodily injury," "property damage" and/or "personal injury" shall also apply to <br />the "additional insured" listed below for claims, suits, and/or damages made against the "additional insured," but only to <br />the extent the "additional insured" is being held responsible for the acts, omissions and/or negligence of the "named <br />insured." <br />This insurance afforded shall not apply to claims, suits and/or damages arising out of the acts, omissions and/or <br />negligence of the "additional insured(s)," <br />The inclusion of the "additional insured(s)" shall not operate to increase the Company's Limit of Liability. <br />To the extent, if any, that this policy affords coverage to an "additional insured," the "additional insured" is subj ect to all <br />of the terms of the policy. <br />The obligation of the Company to provide coverage to an "additional insured" is further limited by the interest of the <br />"additional insured" as defined below. <br />Interest of the Additional Insured(s) Defined: <br />Child Placement and/or Funding <br />For the purpose of this endorsement, the "named insured' is the person(s) and/or party(ies) designated on the Declarations <br />Page of the policy or on any endorsement. The "additional insured" is the person(s) and/or party(ies) identified below. <br />Identity of Additional Insured(s): <br />City of Santa Ana, its officers, employees, <br />agents, volunteers and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />A$ TO FORM <br />APPROVED <br />Gam; TORCK <br />attorney <br />!assistant City <br />(Complete this section if endorsement is added after policy is issued.) <br />Policy No. Endorsement No. End't Effective Date <br />Signature of Auth. Representative Producer No. <br />WW 180 (04/01) <br />