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THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 5 <br />POLICY NUMBER <br />POLICY CHANGES <br />COMPANY <br />FP G20011734 <br />EFFECTIVE <br />Essex lnsuranceCompany <br />9/3/15 <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />International Promotions, Inc, DBA: Fiesta De Carnival <br />Greg Thompson <br />11278 LosAlamltos Blvd 0101 <br />Los Alamitos, CA 90720 <br />COVERAGE PARTS AFFECTED <br />Commercial General Liability Coverage Part <br />CHANGES <br />It is hereby agreed that the following Additional Insured is added: <br />City of Santa Ana; Parks, Recreation & Community Services Agency <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />b� <br />Form # CG 20 26 0413 �e6 <br />Description Additional Insured - Designated Person or Organization <br />Form # MEGL 0010 03 11 <br />�g <br />e <br />Description Additional Insured - Primary and Non- Contributory <br />(jU A. <br />ALLOTHERTE- RMS AND CONDITIONSREMAINUNCHANGED. <br />�R(jSP <br />- � <br />Authorized Representative Signature <br />IL 12 01 11 85 Copyright, Insurance Services Office, Inc , 1983 Page 1 of 1 <br />