CAMP FIRE USA O.C. 2 - Laserfiche WebLink

Home Browse Search

From. Comprehensive Insurance 943709 -1668 To: Carla Thompldns Date: 7/1312004 Time. 1.50:32 PM HAM60 MURF.D AUTHORED AMESEMATIVE Campfire USA Bruce A. Key - - COVERAGEPART3 AFFECTED -- -- General UabiN,.y Package CHANGES - -- In consideration of an additional premium of $29,04, it Is agreed that the following additional insured is added per form CO2020: 1. The City of :ante Ana, 20 Civic Center Plaza, Santa Ana, California 92701: its officers, Employees, agents, volunteers and representatives are named as additional insureds ( "additional Insureds') with regard to liability and defense of spits arising from the operations and uses performed by or on behalf of the rwwoot insured. 2. With respects to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by title policy is primary and s not addtNonal to or contaibutktg with any other insurance ` carried by or for the benefit of the additlorwl insureds. \ 3. This insurancz applies separately to each insured against whom claim is made or suh is broilg x except with respect to the compary's limits of liahiltty. The inclusion of any person or organization as an in"od shall not affect any right which such person or organization would hays as a claimant if not so included. 4. With respect to the addkional insureds, this insurance shall not be cancelled,or materially reduced in ooverage or limit's except after thirty (30) days written notice has ba an given to the City of Santa Ana, 20 Civic Center Plaza, _ Santa Ana, California 92701. AM other terms land conditions remain the same. PRENNUM ADJUSTMENT PREMIUM DUE A F-IXICY CHANGE EFFECTIVE GATE PREWOUS W3TAU PREAIMIM NEW INSTALLMENT PREMUM - ADDrriONAL RETURN 9 29.04 # vro IL 12 01 Iles t><„��,ttf,� �. AuthoZd Reprssentativa nature CopW►9ht, 180 Ctimmerew Risk Services, Inc., t983