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08/04/2004 WED 09.06 FAX 714 +565 4020 CITY OF SANTA ANA 2003/005 ]ul 19 04 09:000 Tllag1 P-3 ESHEET MUST BE COMPLETED AND ACCOMPANY CERTIFICATE OF iNSVRANCE ADDITIONAL INSURED ENDORSEMENT Insurance company_ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY This endorsement modifies such insurance as is afforded by the provisions of Policy No.F20- 0741- A01=75C retating to the fallowing: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, and representatives are named as additional insureds ("additional insureds' with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured_ 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other Insurance carried by or for the benefit of the additional insureds. S. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of arty person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4_ With respect to the additional insureds, this Insurance shall not be cancelled or, materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective JULY 1, 2004 , this endorsement form is a part of Policy No. F20 -0741 - A01 -75C Issued to JAMES H RUSELL & SON INC. Named Insured Countersigned by KELLY D VIS GE H:Mi$C:C"r1C;k1C nrImuM- =addidrnai m6= n mt e,L