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Liability Insurance <br />Endorsement <br />Policy Period APRIL 1, 2014 TO APRIL 1, 2015 <br />Effective Date OCTOBER 14, 2014 <br />Policy Number 3600-15-13 NBO <br />Insured SWIFT ENGINEERING INC <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued OCTOBER 29, 2014 <br />"'%:.ntiJ/// \�/'_'FiU%N\"- .�:RN✓//p/„`PU II /O.\OU//q- /"O\�/aa\//M\.Hl:i�"n/N//l". �. /i/irll\Vi/. \ /i <QOYYlh'A ✓//�S SYMm:I\'/ \\�C'%q.�ti\✓///i' V b1�\%///n\\VN.G <br />This Endorsement applies to the following forms: <br />PREMISES/OPERATIONS <br />_..� .,,. ,,�..> _ ��,,� ✓ ..�.. -- .,.,�. ..��, ,m..,� _ � ..�.. �....., . �,,., �.. a.,, Pau.., <br />Under Who Is An Insured, the following provision is added: <br />Who Is An Insured <br />Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization shown in the <br />Organization Schedule, acting pursuant to a written contract or agreement between you and such person or <br />organization, is an insured; but they are insureds only with respect to liability arising out of your <br />operations, or your premises, if you are obligated, pursuant to such contract or agreement, to provide <br />them with such insurance as is afforded by this policy. <br />However, no such person or organization is an insured with respect to any: <br />assumption of liability by them in a contract or agreement. This limitation does not apply to <br />the liability for damages for injury or damage, to which this insurance applies, that the person <br />or organization would have in the absence of such contract or agreement, <br />damages arising out of their sole negligence. <br />Schedule <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 fid,'. <br />Reference Copy <br />Liability Insurance Additional Insured- Scheduled Person Or Organization <br />continued <br />Form 80-02-2367 (Rev. 8-04) Endorsement Page 1 <br />