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<br />. <br /> <br />."",.... ........ ........,,,,, <br /> <br />. "YO" ."........ - ~...-..- <br /> <br />... .... <br /> <br />. .--.--- <br /> <br />THIS SHEET MUST BE COMPLETED AND ACCOMPANY <br />THE CERTIFICATE OF INSURANCE <br /> <br />E'd <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance company 7.".,.; ch Amari Ca Insurance Co. <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of <br />PoHcy No. r.r.n ~ 711 n" n 1 relating to the following: <br /> <br />1. <br /> <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, Its <br />offICers, employees, agents, and representatives Ire named 115 additional <br />insureds ("additional insureds') with regard to liability Bnd defense of suits arising <br />from the operations and uses performed by or on behall of the named insured, <br /> <br />With respect to claims arising out of the operations and uses pertormed by or on <br />behe" of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other Insurance carried <br />by or for the benefit of the additional insureds. <br /> <br />2, <br /> <br />3, <br /> <br />This Insurance applies separately to each insured against whom claim is made Dr <br />suit is brought except with respect to the company's limits of liability. The <br />inclusion of any person or organization as an insured shall not affect any righl <br />which such person or organizalion would have as a claimant If nol so included, <br /> <br />With respect to the additional insureds, this Insurance shall not be cancelled or . <br />materially reduced in coverage or limits excepl after thirty (30) days written notice <br />has been given to the City of Sanla Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92701. <br /> <br />4. <br /> <br />(Completion of Ihe following, including countersignature, is required 10 make this <br />endorsement elfeclive,) <br /> <br />Effective <br /> <br />, Ihis endorsemenl form is a pari of <br /> <br />Milrc-h ~ ?nn¡:;: <br />. <br /> <br />Policy No. <br /> <br />c:r.n17l1n77()1 <br /> <br />Issued 10 <br /> <br />ThR nppnt ~~ ~~r.A Än~ <br />Named Insured <br /> <br /> <br />:ounterS¡gned by ftU.<id£ J:;",ùC..4/ <br />APPROVED AS TO FORM <br />~2/~ <br /> <br />/ aura Stitt Sheedy <br />Assistant City Attorn~\. <br /> <br />1:1"11.1 <br /> <br />"8S:80 SO ED ~"W <br />