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<br />. ')7/14/':004 14:34 FAX 714 347 7568 <br />------',.-,-------';---- <br /> <br />SJHS RISK MANAGEMENT <br /> <br />ADD[TIONAJ" INSURED El\'DORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLIO' <br /> <br />Insurance Company: American Unitv Group. Ltd, <br /> <br />This endorsement modifies such insurance as is afforded by thc provisions of Policy ri <br /> <br />UNI-CGL-04-01-020 (] -14601-00-04) relating to the foJ1ováng: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California Y270 I: ,[, <br />officers employees, agents, volunteers and representatives are named as additional <br />insureds ("additional insureds") with regard to liability and defense of suits ansing fron' <br />the operations and uses performed by or on behalf of the named insured, <br /> <br />2, With respect to claims arising out of the operations and uses perfonned by or on <br />behalf of the named insured, such insurance as is afforded by this policy is primary and ;, <br />not additional to or contributing with any other insurance carried by or for the benefit 0 I <br />the additional insureds, <br /> <br />3. This insurance applies separately to each insured against whom claim is made or SUli <br />is brought except with respect to the company's limits of liability. The inclusion of an\ <br />person or organization as an insured shall not affect any right which such person 0:' <br />, organization would have as a claimant if not so included. <br /> <br />4, With respect to the additional insureds, this insurance shall not be cancelled, 0" <br />materially reduced in coverage or limits except after thirty (30) days writtcn notice ha, <br />been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701 <br /> <br />(Completion of the following, including countersignature, is required to make thh <br />endorsement effective.) <br /> <br />Endorsement A3 <br /> <br />Effective <br /> <br />06/30/04 to 06/30/05, this endorsement form as a part of <br /> <br />Policy # <br /> <br />UN] -CGL-04-0 1-020 (! -1460 1-00-04). <br /> <br />Issued to <br /> <br />St. Joseph Health System <br />Named Insured <br /> <br />Countersigned by <br /> <br />C\[){ç- <br /> <br />Authorized Reprcsentati ve <br /> <br />~f lÞ-- <br />