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POLICY ENDORSEMENT # 01 Broker copy <br />This Endorsement is Attached to and made part of Policy # CLS1547446 Issued to: PACIFIC SYSTEMS ELECTRIC <br />`W Insurance Company: Scottsdale Insurance Co. Agent: ISU INS SVCS/ROGER STONE INS AGE <br />Effective date of this Endorsement is 215109 at 12:01 AM Standard Time. Producer: Yates & Associates Ins Services Inc <br />X Additional Insured(s) <br />In consideration of the premium charged, d is hereby agreed that form CG2010(7-04) Additional Insured - Owners, Lessees and <br />Contractors is made a part of this policy adding the City of Santa Ana as additional insured with PrimarytNon-Contributory Wording <br />per form GLS -295, effective 02!05109. <br />City of Santa Ana <br />Building Maintenance Division <br />P.D. Box 1988 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />All other Terms and Conditions remain the same. <br />ENDORSEMENT#01 <br />Issue Date: 2119109 <br />%Nwlssued By: <br />Company Representative <br />