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<br />or <br /> <br />~3/~1/2~~7 12:15 <br />.... <br /> <br />131~4752818 <br /> <br />VAN DUZER & ASSOC. <br /> <br />PAGE 03/03 <br /> <br />SANTA ANA RISK MGMT. Fax:714-647-5311 <br /> <br />Feb 26 2007 11:32 <br /> <br />P.02 <br /> <br />ADDITIONAL INSURED ENboRSEMENT <br />FOR. COMMERClALGENERAL LIABILITY POLICY <br /> <br />~olJ <br /> <br /> <br />..., v..... ~ '-l-( <br /> <br />Insurance Company <br /> <br />This endorsement <l\Odifjc5 such insW:aJ:lc:e lI& is afforded y the provisions of Policy <br /># 72. '5i3I4U;,"-,,7l{ rclalingto th~ following: <br /> <br />L The City of SllIilB Ana, 20 Civic Centtt PI a, Santa Ana, Callfumia 92701; ils <br />officl:lrs, employees, agents, volunteers and r"PresentativJs are named as &dditioDIII insureds <br />("additioDBl insureds") with "'Bud 10 liability and d~fens~ of suits arismg from the opCl'atlons <br />and uses pErlomlcd by or on bebalf of the Dl\IJled iu.rurcdl . <br /> <br />2. With respect to claims arising QUI of the 0 I r>rtioru; and use. performed by or on <br />behalf of tile named insured, such insurance as is afforde~y tIns policy is primlll)' III1d is not <br />addition.! to or contritxmnA: with any other insuIllDce c.died by or for the benefit afthe <br />additioDIII iDSUrecls. . <br /> <br />3. This inJumace applies sepllIlllely to ..lOh ~surcd against whom claim is made Or <br />suit is broll8ht ~1(ccpl with relip"ct 10 thE companyslimltS of liability. The inclusion of any <br />pex-son or organi2.alion as an insw:oo shall not afiect any right which such person or Ol'&anizatlon <br />"IlYOuld have as a claimant if not so iD<:luded. I <br /> <br />4. With respect 10 the additional insUItlds, thi~ ln9UIallce sball not be canoelled, or <br />Illalllrilllly reduced in cov~ge or limits except after thinJ! (30) days written notice has been <br />given ID the City ofSanlllAna, 20 Civic Center Plaza, sJta Ana, Califomia 92701. <br /> <br />(Completion of ~ following. including countersignature.1 i. requi.l'ed ro rom this endorsement <br />elfec:ti.w.) , <br /> <br />Effective L -2.~-o f . this tndonero.e.nl form as a pari of <br />Policy # ~.2S B r'1.( 6S""S"" Y 1 <br />Issued to lIy 1i~,.,~ EeI"Vli..J.c('..~ ( a.. l-.r:....n .....j./,,,?Y.J.I <br />, NatIIt!d hulured . <br /> <br />c.-ipd>, \ III <br /> <br /> <br />Authd~presentativc <br />, <br /> <br />---f85 2 I z.... <br /> <br />