Laserfiche WebLink
''' EVANSTON INSURANCE COMPANY <br />I d ASSOCIATED INTERNATIONAL INSURANCE COMPANY <br />ADDITIONAL INSURED ENDORSEMENT <br />(PRIMARY) <br />Enrry optloml if shown in the Cwnmon Pollcy Declarations. !f no entry is shown, the effective date of the endorsement is the same as the aHectNe date of <br />ATTACHED TO AND FORMING EFFECTIVE DATE -ISSUED <br />To <br />PART OF POLICY NO. OF ENDORSEMENT <br />CP040700169 HI DESERT COMMUNICATIONS <br />THIS ENDORSEMENT CHANGES THE POLICY. READ IT CAREFULLY. <br />SECTION II —WHO IS AN INSURED of the Commercial General Liability Form is amended to include: <br />Person or Entity: THE CITY OF SANTA ANA , ITS OFFICERS, EMPLOYEES, AGENTS, VOLLUNTEERS <br />AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />As an additional insured under this policy, but only as respects negligent acts or omissions of the Named <br />Insured and only for occurrences, claims or coverage not otherwise excluded in the policy. <br />It is further agreed that where no coverage shall apply herein for the Named Insured, no coverage nor defense <br />shall be afforded to the above identified additional insured. <br />Moreover, it is agreed that no coverage shall be afforded to the above identified additional insured for any bodily <br />injury, personal injury, or property damage to any employee of the Named Insured or to any obligation of the <br />additional insured to indemnify another because of damages arising out of such injury_ <br />Subject to the foregoing, it is further agreed that when insurance coverage is afforded by this policy for the <br />above Additional Insured(s), it shall be primary insurance as respects any claim, loss or liability arising out of <br />the named insured's operations. <br />Author ed Representative <br />i <br />ME-009P (07101) <br />Endorsement #13 <br />Additional Premium:$250.00 <br />State Tax 3.0% :$7.50 <br />Stamping Fee 0.125%:$0.31 <br />Total Additional Premium:$257.81 <br />