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- --- ��•�rN aerrano n ana tf Hospital 949 855 1070 p,4 <br />O0t 27 03 01t44p �nta Ana 200 7V537403 <br />p.3 <br />ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company: r( 2 r M/+ O `S F-V U U I14 S &I. <br />This endorsement modLfics such insurance its in afforded by the provisions of policy H 42. C 30 l02 -7(- 14— <br />Rotating to the following: <br />1. The City of Santa Ann, 20 Civic CCnte:r Plaza, timtta Ana, California 927U7, <br />officers, employees, agents and mprmentativm am,. named as additional insured <br />with regard to )!ability and defense of suite arising front the operations and uses <br />perfunned by on behalf of the named insured, <br />2. With resircat to claims arising out of the npuralions and uses performed by or on <br />behalf of the named insured, .such losuranceas is'affordetil by this policy is <br />primary and is not to contributing with any other insurance carried by or for the <br />benefit of the additlonal insured. <br />3. This insurance applies suparawly to each insured orainsl whom claim is made or <br />suit is bought except with respect to the company,!: limits of liability. The <br />inchrsion of any person or orgaoiizttiun as art invurud shall net affect any right <br />which such person or organization would have as it claimant if not sa included. <br />4. With respect to the, additional insured, thin insurance shall not bo cancelled, or <br />materially rerdueed in coverage or limits except after thirty -',if) days written notice <br />has glvan to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701, <br />Completion of the following, including counkmibmature, is required to make this <br />endomurient effective. <br />Effective- 7 — I C 3 , this endorsement farm as part of <br />Policy M A Z C 20 77 4 %( <br />Issued to Se2Rlt1-Ic 4,j,m41- l3i2U I�cSP Sti)C, <br />Namoa Insured <br />Countcrxigncrlby <br />o4/rs/v7 <br />