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1/29/2004 T. -0e. 10:04 AH Toy W 15623660457 1-510-452-2193 Page: 002-002 <br />01/28.,'2004 12:35 15623660451 <br />:fie -r a 4. 1:�Js wee' 1 v� <br />GUM <br />Insurance Company UNITED STATES FIDELITY E GUARANTY CO <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br />iO 8K 0118 8 9 43 reiatittg to the following: <br />I- The City of Santa Pana, 20 Civic Center Plaza, Santa Ana, California 92701; <br />officers, employees, agents, volunteers and representatives are named as additional insured <br />Oadditional insureds") with regard to liability and defense of suits arising from the operatic <br />:md uses performed by or on behalf of the named insured <br />2. nth respect to claims arising out of the operations and uses performed by <br />behalf of the named insured, such insurance as is afforded by this policy is primary and is <br />s,dditional to or contn'buti ug with any other insurance carried by or for the benefit of the <br />:additional insureds. <br />3. This insurance applies separately to each insured against whom claim is.= <br />Wt is brought except with respect to the company's limits of liability. The inclusion of at <br />Pelson or organization as on insured shall not affect any right which such person or organiz <br />would have as a claimant if not so included. <br />4. With respect to the additional Insureds, this insurance shall not be cancelled, <br />r"WW3xMKM in coverage or limits except after thirty `(30) days written notice has beer <br />Fzven to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />'EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR NON—PAYMENT OF PRE <br />(Completion of the following, including countersignature, is required to make this endorses <br />effective.) <br />l::ffective 08-21-03 this endorsement form as a part of <br />F olicy f <br />loxdtoKLUGER ARCHITECT INC., <br />Named Insured <br />Countersigned byo <br />Authorized Repr sentadve <br />UM, <br />82 <br />