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Insurance - CBIZ Accounting - 2006-07-10 0 'O V'V/ F V/ / V 4 -V V I U 4 O , V-V 1 v n , v, ry n L. 1/4.1/4011 0061154 FILE COPY CR 10 24 ( Ed . 10 90 ) • THIS ENDORSEMENT CHANGES THE POLICY . PLEASE READ IT CAREFULLY. INCLUDE DESIGNATED AGENTS AS EMPLOYEES COVERED FOR "EMPLOYEE DISHONESTY" ONLY This endorsement applies to the CRIME GENERAL PROVISIONS FORM and all Crime Coverage Forms forming part of the Policy . A. SCHEDULE Capacity of Agent • Limit of Insurance WENDY H . DAVIS AND MARCUS D . DAVIS AS INDEPENDENT TREASURERS FOR THE • COSTA MESA SANITARY DISTRICT. $400 , 000 B . PROVISIONS 1 . "Employee" also includes each natural person , partnership or corpora - tion you appoint in writing to act as your agent in the capacity shown in the Schedule while acting on your behalf or while in possession of Covered Property . These natural persons , partnerships or corporations are not covered for faithful performance of duty , even in the event that this Policy may have been amended by endorsement to provide such coverage on "employees " as they are defined in the Crime General Pro - visions . The only covered cause of loss for the Agents scheduled above is "employee dishonesty" as defined in the Employee Dishonesty Coverage Form. Each such agent and the partners , officers and employees of that agent are considered to be , collectively , one "employee" for the purposes of this insurance . However , the Cancellation As To Any Employee Additional Condition in the Employee Dishonesty Coverage Form applies individually to each of them. 2 . The most we will pay under this Policy for loss caused by an agent in - cluded as an "employee" by this endorsement is the Limit of Insurance • shown in the Schedule . That Limit of Insurance is part of , not in ad - dition to , the Limit of Insurance shown in the Declarations as appli - cable to the Employee Dishonesty Coverage Form. • rn . n nn ICa in ,nn t non Io-,.... REcuvED JUL 1 3 2006 SDRMA INVOICE COSTA cASANIIARYDISTRICT July 10, 2006 Costa Mesa Sanitary District 628 West 19' Street Costa Mesa, CA 92627 Special Crime Coverage -Wendy Davis& Marcus D. Davis - $500.00 "Employee Dishonesty" coverage 2006-07 program year • • Please Remit Payment to- SDRMA 1112 "I" Street, Suite 300, Sacramento, California 95814 For questions or assistance, please call 916.231.4141