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•� ��: �,p aerrano H ana H Hospital <br />Oat 27 03 01r44p isnta Ana Zoo <br />ADDITIONAL INSURED ENDORSEMENT <br />949 855 1070 p,4 <br />7#W537401 p,3 <br />Insurance Company: r f 2 t= dqA l.1 ,S, FV U D Z/J S &, <br />This endorsormot modifiati such insurance as in afforded by the provlsinns of Policy 0 4Z 0 Leo 7,2 ZG / <br />Relating to the following! <br />1. The City of Santa Ana, 20 Civu; Ceilter I'laza, Smtta Ana, California 927U], <br />officers, employees, aLnnls and reprcwenmtivtm are named as additional insured <br />with regard to liability and defense of suits arising from the operations and use-s <br />performed by on behalf of the named insured. <br />2. With respect to claims arising outof the operations and uses performed by or on <br />behalf of the named insured, .such insurance as is''affordW by this policy is <br />prints ry and is not to cont0buting with any other insuranm carried by or for the <br />benefit of the additional insured. <br />3. This insurance applies suparately to each insured against whom claim is made or <br />suit is bntttght except with respect to the company'!: IintiL% of liability. The <br />inclusion of any parson or organi=%tion as an insured shall not affect any right <br />which such person or orZnnizatioin would have as a claimant if not so incloded. <br />4. With resfxxt to the additional insured, this iitsuramv. shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty-90 days written notice <br />has given to the City of Santa Ana, 20 Civic Center Plaza. Santa Ana, California <br />92701. <br />Completion of the following, including countersignature, is required to make this <br />endorsement effective, ? <br />Effective 7 - / _ Ci „1 / , this tmdorsement form as part of <br />Policy ,q . /4 2 C 2 eo .) -7 <br />Issued to <br />Namotl In6Ylaa ` <br />Countersigned by VV, nc�- Q - •`��^`^^�" �-''� <br />eg/m/47 <br />