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NOTICE:. <br />AND THE <br />EXEMPT FROM THE FILING REQUIREMENTS OF <br />INSURANCE LAW AND REGULATIONS. HOWEVER, <br />RATES MUST MEET THE MINIMUM STANDARDS O <br />INSURANCE LAW AND REGULATIONS. <br />F <br />THE NEW YORK <br />THE FORMS AND <br />THE NEW YORK <br />NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS <br />Named lnsmad <br />Endorsement Number <br />Comoast Corporation <br />1 Symbol a toy .o <br />m2 <br />P0laPorkul <br />EltooQviiDao_of EndorsomentPoI, <br />0 <br />12/01/2021 to 12/22 <br />12/01/26212 <br />Issued sy (Nemo�orinsuraitae,Company) <br />ACE American Tasurance.Company <br />msenthe, polioyntenbet. Tne ram anuoror reetnrennauen is to no. compre,eo eery men <br />ran p,nyamum, w um Munuy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following,, <br />EXCESS COMMERCIAL GENERAL LIABILITY POLICY <br />Schedule <br />Orrganlzatlon Additional Insured Endorsement <br />City of Santa Ana, officers, officials, agents, employees, and <br />volunteers <br />flf no Information is filled In, the schedule shall read., "All persona or entitles added as additional insureds <br />through an endorsement with the term 'Additional Insured"In the title) <br />For organizations that, are listed in the Schedule above that are also an Additional Insured under an <br />endorsement attached to this policy, the following is added to Section IVA: <br />if other Insurance Is available to an insured we cover under any of the endorsements listed or described above <br />(the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss and is <br />primary (subject to satisfaction of the "retained limit'), meaning that we will not seek contribution from the other <br />insurance available to the Additional Insured. Your"retained limit" still applies to such loss, and we will only pay <br />the Additional Insured for the "ultimate net loss" In excess of the "retained Iimlt" shown in the Declarations of this <br />policy. <br />XS.20288a (05114) <br />Class Code: 2.14057 <br />Authorized Representative <br />=a.. RtieMs>•genm3rM{dpn <br />'_. REVIEWED&APPROVEDay: <br />Risk Management Analyst <br />