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<br />, <br /> <br />03~01/2007 12:15 <br /> <br />13104752818 <br /> <br />VAN DUZER & ASSOC. <br /> <br />PAGE 03/03 <br /> <br />SANTA fN1 RISK MG'fT. Fax: 714-647-5311 <br /> <br />Feb 262007 11:32 <br /> <br />P.02 <br /> <br />I <br /> <br />ADDITIONAL INSURED ENboRSEMENT <br />FOR. COMMERCIALOENERAL LlABlLITY POLICY <br /> <br />Insurance Company ~ +- .(2() 1'- J J- Y\ <;v- ~ - ( --f <br /> <br />i <br />lbi, endorsement 'l'Iodifics such illSw;~ce a& is afforded t the provisions of :Policy <br /># 72. 513Jll.U;,.c;S'7 '{tclatinglo the fallowUlg: . <br /> <br />I. The City ofSlIlita ADa, 20 Civic Centt;r Pi a, Santa Ana, Callfurnia 92701; its <br />oflicl:lrs, employees, agents, vol\llJlecrs and l"Prese:ntatiV~ are named as additioDlll insureds <br />("additiollB1 in~ured8") with "'Bord 10 liability aad defense of suits arismg from the opeJatlons <br />and uses perfor.med by or on bebalf of the named iu.'lurodl . <br /> <br />2. With respect to claims arising OUl of the 0 I r;otiolLS and uses performed by or on <br />beo.1fofthe DlUDed insured, such insurance as is affordefbY Ihls policy is primary ond is not <br />addition.! to or conttib\\tinr< with any other insurence ".died by or for the benefit of the <br />addltioDlll ill.SlJIeds. I <br /> <br />I <br />3. This inJurance applies sepllIlllely to elllh ~surDd ~st whom claim is made Or <br />suit is brought EXCept with reipCct to the companY's limit$ of liability. The inclusion of any <br />person or org;anWllion as an insllJed shall not affect any right wttich such person or ocalUlization <br />would have as a claunanl unot so iIlcluded. 1 <br /> <br />4. With re~d to the additional iDS\1l1:lds, thi insurance shall not be canceUed, or <br />lDalIIrilllly reduced in coverage or limits except after th~ (30) days written notice has been <br />given lD the City ofSlIIlTlllADa, 20 Civie Center Plaza, sJta Ana, CaJifomil!. 92701. <br /> <br />(Completioll of the following, including countetsignatw:e, i. requi.red to mala! this endors=enl <br />effective. ) <br /> <br />Effective L -7-~-O f ,this Cndom:Ille.nt form as a part of <br />Policy # --.J::Z.S jl, ~f 6S-5) Y 1 <br />Issued to HI/J'rn'l~ (-edlJ~L'lc(l"~( lJ-"'~"-Y1...J./"''l.-:J.1 <br />, . Namtd lllIIured ' <br /> <br />C=signed by <br /> <br /> <br />~2/z..., <br />