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<br />)~Xln 'U'f C <br /> <br />ADDn'!ONAL INSURED ENPORSJnyfE'NT <br />FOR COMMnAClAL GENERAL LTABILlTYPOTJCY <br /> <br />TMUt1lT1ee Compl.1ny <br /> <br />Fil'~~nd Insurance Company <br /> <br />'O.is emlan;cment modi tie$ sllch insurance as is afforded bytbe provisions of Policy <br />Ii MZXB~826694 relating to the tollowins: <br /> <br />1. The City of S~ Alia. :20 Civic Center Plan, Santa Iu1a, California 92701; its <br />ornc~ employOOll. &gent., volUJttects and rcprcscntativcB arc named aa 1.\dditional insureds <br />("pdditlannt in$urod!I") \Vith tel,,'fltd to linbility and dofense of !l\1its arising from the operations <br />and uses performed by or Q11 bcha1!ot'thcnnmod insured. <br /> <br />2. With respect to clBirns arising out oftbo opcration& and uses performed by or on <br />bebalf pfthc named inaurcd, aucb iD&1lmnee .8 is afforded by thl$ policy is pri.rQruy and is not <br />additional to or eontl.'lDllting with allY other insurance canied by or for the benefit ofthc <br />additional ins\lrcds. <br /> <br />.3. This insu mnco a~llcs sC))Aratoly to ell ch iosurcd against whom olaim is J11adB OT <br />suil is brou,ht except with tCol.peot to the company's Umits o!1iabiUty. The inolusion orany <br />person or organiution na an. insured shan not affect aoy right which sucb pctSOn or orgnniZll.lion <br />wml1d have as a. c1ainumt finat so included. <br /> <br />4. With respect to tile additional insureds, this insW'I11ce sball not be eanccllod. or <br />mfltcrially reduced in coverage ol'1imits e"cept afte!." thirty (30) days written notice has beon <br />giv~ Lo the City of SantA Ana. 20 Civic Center Pl~ Santa Ana. California 92701. <br /> <br />(COlllpletiOIl of the foUowmg, including ooun~ersignatl.1:re, is required to make this endorsement <br />orracUve.) <br /> <br />Eftc;:ctivc; --i:lB.t:cb,.J,._ 2.QQ5.._._'_M._t tllls endorsC!nent form as a pa.rt of <br />:Policy it MZX808~6694 <br />Issued to Caribou Industries, Inc.; 100 South Maiu Sreet. LLC. et 81 <br />Named InBured <br /> <br />COlJ1\tcrsisncd by - ~ C~<~I/ k.s <br />Authorized RcptcScntativo <br />Todd C. Holliday <br /> <br />U::;i't\.U\~";' A.S TO FORM <br /> <br />u._....L~ .) / ~ <br /> <br />"aura Stitt Sheedy <br />',,[stant City Attorney <br />