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POLICY NO.: RIC0013255 <br />INSURED: INTERVAL HOUSE. <br />ENDORSEMENT NO.: 006 <br />EFFECTIVE DATE: 10/01113 <br />POLICY CHANGE ENDORSEMENT <br />[FOR USE IN AMENDING POLICY DECLARATIONS] <br />This endorsement affects one or more of the following items: <br />1. Automobile ❑ 4. Inland Marine ❑ 7. Common ❑ <br />2. Property ❑ 5. Crime ❑ <br />3. General Liability ® 6. Professional Liability[] <br />Description of Change: <br />THE CITY OF SANTA ANA HAS BEEN ADDED AS AN ADDITIONAL INSURED PER FORM <br />MSHSGLCA28 (10 07): ADDITIONAL INSURED ENDORSEMENT — SEE ATTACHED. <br />Premium:NO CHANGE <br />ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED <br />RPIL 77 04 06 e5 <br />,AppROVr,D AS TO FORM. <br />LISA E• STORCK <br />Assistant City jmtorney <br />5 /-f <br />