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CITY S R - ENG 3RD FL*ax : 714- 647 -5635 Jan 25 #2 16:33 P.04 <br />On C.0 P1j5ca, 0397.0032 <br />ADDITIONAL INSURED EPMPJRM M <br />[ns+rranco Company. Harilbrd Insuraocc <br />This e:xiarserrurrtt muff s eu9b lasarm o as is sSbrded by the provisions of Policy <br />1i44U UWFU 2QS relating to the following. <br />l . Tin Cdr of Sams Ana; 20 Civic Contcr Plaza, Santa Ana, California <br />92701; its officers. employees, sgeats and reprosarmdvat are nssnod as <br />additional insumd (" addi$onal irraur -) with mpM to Iiabillty sad <br />dofems of salts wising fxam do opa Ions wd hues perform+ by or as <br />bdWf of tiro naraod lnsurod, <br />2. With mapsot to alairns orWng out of the operatlow o d um pedorgvd by <br />or on behalf of the name hmn- , such Inn om a is affottlod by hiss <br />policy Is primary and is not alldoW to or c ovtdbudag with my odw <br />iniurnw* carried by or for the benefit of the additional insured. <br />3, This Wan= applies aepamtely to mh lnstlred gMwt wham, claim is <br />t nuAc or cult is brought exeept with tart to do eampany's limits of <br />116TAlity. The inclusion of any persaa or organization as an kwured shall <br />that affid any r* which such person or oWairatlon would bavc a <br />claimant If not so laid <br />4. With mpsat to the addllloaal Ineurad, this iisurattee *all w be <br />cancelled, or maWAlly reduced in ooveme or thidu eaoopt alter Obty <br />(30) days written notice has been given to the City of Santa Amt„ 20 Civlo <br />C04W Pitsk Mete Ai% Calitbrain 92701. <br />(Cornpleiton of tf re ibllowiog. Mali ttg oounWdgpaturt, is aquiftd to make this <br />endorsement effective.) <br />Effective 101Q1101. the endarsemerS form as part of <br />4r Wt;t <br />hewed to Tetra T4ch AST, <br />Nan od Mwed <br />Cowtterslgoed by: <br />APPROVED AS � P6EIVi <br />LISA E. STORCK <br />Assistant ON Attarn @v <br />VO 'd OVOOM 'ON XVd vmaystld iSd Yid w i0 Iad Z00z-9Z -Nvf <br />