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<br />~EB 25 2004 3:12PM HP LASERJET 3200 p.2 <br />HUe: ë, U~ CZ/S3p COM'ol cta~.d JJa~a " 7 <br />~ I 141 772-3301 p.-S <br /> <br />II ;:\.. \ cn~ ~R,~tr.~~L~.:~~:P~~ 4~". A""~~,~,::.~:H~~~:~,..,:..~, r;.~;,;;;,~~.~~..,""""",; <br /> <br />.. ADDITIONAL INSURED ENDORSEMENT <br /> <br />InsuranCE! Company.2s2ttsdale Insurance ComDanv <br /> <br />Tills endol'tement modifies such Insurer,,;e as is IIfforded by tho provisions of Polic>, <br />#I CLS096431 0 rela6ng to the following: <br /> <br />1. The City or Santa Ana, 20 Civic Center Plaza. Santa' Ana, Cafifornia <br />92701; ils officecs, employ"s, agents end YOIunleer~ are named as ,additional insureds <br />('additional Insureds") with rcgerd to I¡ab~ity and defense of suits arising from the <br />.ope(ations and \lses performed by or on behalf oHM named insured: <br /> <br />2. With respect \0 daims 3riGing OUI of the operations and' uses performed by <br />or on behalf of the named Insured. such insurnnce as is afforded by this policy is . <br />primary and is noL additional to or contributing wjth any other insufémce carried by or for <br />lIIe bli!nefit of the additional insureds. <br /> <br />3. This insurance applies separately 10 each insured again$1 Whom claim Is <br />made or !;uit is brought except with respect to the com~an1s fimll$ of liability, The <br />inClusion or any person or orgonization as an insured shall not affect any rigllt which <br />~uch per$Ol\ or organization would have as a claimanl if n~1 $0 illCluded. <br /> <br />4, WIth respect 10 the additional insureds, this ins\ ~nc= llhall nol be <br />canceled, or malerially reduce" in coverage or 'imila except afier thirty (30) days written <br />notice has beengivel'l to the City of Santa Al'la. 20 CIVic Center, Plua. Santa Ana, <br />California 92701. <br /> <br />(Completion of the following. including countersignature. is required 10 make this <br />endorsement effective.) , <br /> <br />EffectIve <br />Policy # <br />Is$oued to <br /> <br />9/5/03 <br /> <br />CLSO96431 0 <br /> <br />Conso1idated Data Contro1s <br />Named Insured <br /> <br />,this endol1oement form':¡s:a parto! <br /> <br />Countersigned by <br /> <br /> <br />lative <br /> <br />~-----_.,-_.,"""'-._.... ..~~.,..,-,-.. .. <br /> <br /> <br />=_: .:-=~~~.~=-- -==:~=~1 <br /> <br />.z/z <br />