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<br />01/23/2014 01:04 FAX <br />F~OM <br /> <br />141003 <br />(T H U ) MAY 1 3 200 4 11: 0 71 ST. 11 : 0 BIN O. 6 3 2 0 9 9 481 0 P 2 <br /> <br />ADDmONAL INSURED ENDORSEMENT <br />FOR. COMMERCIAL GENERAL LIABILITY ~LTCY <br /> <br />Insurance Company -Ai "",~....{ :z:." 1>N "<HW''' ¿$-ìf1.,...Y <br /> <br />'This endorse¡:nent modifies such insur.ance as is afforded by the provisions of Poliçy <br /># ~ ~~ ... (;11- . relating to the following: <br /> <br />1. The City of Santa Ana, 20 Ci vic Center Plaza, Santa Ana, Californi a 92701; ìC& <br />officers, employees, agents, volunteers and representatives are named as additional insureds <br />(" additional insureds") with regard to liability and defense of suits arising from the operations <br />and uses performed by or on behalf of the named insured. <br /> <br />2. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by thhi poHey is primary and is nor <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additiona] insmeds. <br /> <br />3. This insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. Th~ inclusion of any <br />person or organization as an insured shaH not affect any right which such person or organizaríon <br />would have as a claimant if not so included. <br /> <br />4. With respect to the additiona.l insureds, this insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center PJaza, Santa Ana, California 92701. <br /> <br />(Completjon of the following, including countersignarurc, is required to make this endorsemßnt <br />effecti ve.) <br /> <br />Effective <br />Polic y # <br />Issued to <br /> <br /> <br />. this endorsement form as a part of <br /> <br />Þ,~," <br />1"'/ <br /> <br />" <br /> <br />I <br />, /) <br />,I ~.,...:.:_~~ <br /> <br />/ <br />,II <br />'; <br />/' <br />