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CITY OF SANTA ANA <br />Risx MANAGEMENT, dzxaerro q HUMAN RESOURCES <br />Managing Risk omigli Fos" Change <br />ADDITIONAL INSURED ENDORESEMENT <br />Insurance Cornpany; State Farm Insurane Compancy <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy # 92-GR-F509-2 <br />relating to the following <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, <br />agents and volunteers are named as additional insureds ("additional insureds") with regard to liability and <br />defense of suits arising from the operations and uses performed by or on behalf of the named insured. <br />2. With respect to claims arising out of the operations and uses performed by or on behalf of the named <br />Insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with <br />any other insurance carried by or for the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is made or suit is brought except <br />with respect to the company's limits of liability. The inclusion of any person or organization as an Insured <br />shall not affect any right which such person or organization would have as a claimant If not so included. <br />4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced <br />in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 <br />Civic Center Plaza, Santa Ana, California 92701. <br />Completion of the following, including countersignature, is required to rnake this endorsement effective. <br />Effective 01/01/2020 <br />Policy # 92-GR-F509-2 <br />Issued to AD <br />this endorsement form as a part of <br />NEZw <br />(Named Insured) <br />a <br />FRANCINE R. <br />Countersigned by - <br />uthor ied Representative <br />Omsk MOmtilnsuronce Requ(rements�Additl000l insured Endorsement 08152019 <br />