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KILEY COMPANY A-201 1-068 & A-2014-034 REVIEWED Y. EUNICE HERE DIA (PG. 2 of 3) <br />SEc rj0N 11 ADDIT'IONAL IN ENDORSEMENT <br />Policy No- 92 -Y'Ci- 5250 7 <br />Named In; uited: <br />EL]ZABE TH M <br />DBA KK.EY COPAPANY <br />268 1 DOW AVE S'TE E <br />1 LIS TIN (,A 92 780,72,14 <br />Additional Instired (include address), <br />QTY OF SAVA ANA <br />,,TS W!�RCERSPM, N.OYFFS & <br />A(; E ' N'TS <br />C/0ROSS ANNEX <br />20 CEVIC CENTER FILZ <br />SAN"rA ANA CA 92701AW, <br />WHO IS AN INSURED under SFCTtON 11 DESIGNA"TIC'M OF' INSURED, is amende,,f to hcluc,'Je as an xwsurel the <br />Adx,M*nai Insured shooabOVe, DO only to the extent tr`nat Iiabihty is trnrx�sed o,,,l that Addftior;a' 8,nsured soty berause <br />of your, work rX,'1'1W'rT*rJ for that Adddional Insured sho'mfn above <br />Any insurance rIwavided to the Adcfifiunai Nrmured sh,,'A Only art pl y mtn resrwct 1<r a 031m mar 'J,`e a:pr stnt brought for <br />darnage n ftm Oiich arras bran prowded coveraTgt <br />The PNMWInSUT'ance caverage beirmv ar'.pbes only when mpre rs an X' m the box <br />Primaty Insurance T'he V,risii,,mwce prwded to the Ad&tiorrat insured shovow above rah" a0 tar <br />Any insLff ance carned by the Addihoinal hisun!,d, sha'A be, noncxyntrbuto;y mth resped to covt'.,rage prcwtded ins <br />y"'m <br />All other provoitons of the pnbcy appy <br />