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MAY -'13 -2004 09:24 THE CAMBODIAN FAMILY 714 571 1974 P.04 <br />ADDITIONAL .INSURED ENDORSEMENT <br />insurance Company PHILADELPHIA INDEMNITY INSURANCE CO. <br />This endorSgrn��qan�tt mooMes such Insurance as is afforded by the provisions of Policy <br /># PHPKO74625 re6aong to the iollowing; <br />t. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; <br />Its officers, employees, agents and representatives are named as additional insureds <br />('a aional Insureds') with regard to Nabilky and defense of salts arising from the <br />operations and uses performed by or an behalf of the named Insured. <br />2. With respect to claims artstng out of the operation and uses performed by <br />or on behaK of the named Insured, such insurance as is afforded by this policy is primary <br />and is not additional to or contributing with any other insurance carried by or for the <br />benefit of the additional insureds. <br />3. 'tnra nstrre = applies separately to each Insured against whore claim is, <br />made or suit Is brougtd wcept with rasped to the company's lin is of Aabil>ty. The <br />Inolusian of any parson or organtudon as an insured shall not affect any right which such <br />person or orcankwilon would have as a cla mm if not so included. <br />4. With MSpeCt to tto additl ld insureds, this imstxanoe Sf mall not be cartoeuad, <br />or matetWy reduced In covwae or 6mib except after thirty (80) days wriden notice has <br />been given to the trey, of Sarft Ana. 20 Civic Center Plaza, Santa Ana„Caafomla 82701. <br />(Completion of the following, including counterslgnattite, is required to make arts <br />endorsement -efteotilve.) <br />Effpotive 03 / 09 / 04 this endorsement form as a part of <br />Policy# PHPK074625 <br />Issued to ' THB CAMBODIAN FAMI_ LPL <br />Named insured <br />Countersigned by <br />AF 1,0%:.. <br />TOTAL P.04 <br />