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J0N i6.20Ci 3 QID kiN N CA 650 N7_1$10 <br />N0.974 ' 4 <br />THIS SHEET MUST BE COMPLETED AND ACCOMPANY <br />THE CERTIFICATE OF INSURANCE <br />ADDITION AL INSURED ENDORSEMENT <br />Insurance company FIRjAAi15 ,FUND INSURANCE Q2AM <br />This endorsement modifies sucl r insuranoe as is afforded by the provisions of <br />poliey Na. MZX80844127 .,_ rotating to tine following: <br />t. The City of Santa Ana, 211 Civic Center Plaza, Santa And, California 9270 t, its <br />officers, smptoyaes, aget s, and representatives are named as additional <br />insureds ("additional insur ;ds") with regard to liability and defense of suits arising <br />from the operations and L res performed by or on behalf of the named insured. <br />2. With respect to claims arl Ing out of the operations and uses perforated by or on <br />behalf of the named insui A, such insurable as is afforded by this polioy la <br />primary and is not additroi iat to or contributing with any other insurance carried <br />by or for the benefit of the additional insureds. <br />3, This Ineu ranee applies set jarately to each insured against whom claim is made or <br />suit is brought except wlth respect to the company's limits of liability. The <br />inclusion of any person or organization as an insured shalt not aftot any right <br />which such person or orgy +rixatlon would have as a claimant it not so Included, <br />4. Wllh respect to the additio lal insureds, this insurance shall not be canoalled or <br />materially reduced in cove age or limtla except after thirty (30) days written notice <br />has been given to the Cily of Santa Ana, 20 Civic Center Plaza, SmIta Ana, <br />California 92701. <br />(Compielion of the following, Inch r ding Countersignature, is required to make this <br />endorsement eiteclive) <br />Effsctiva 06^28-05 this endorsement forty is a part of <br />Policy No. MZX80844127 <br />16sLed to PACIFIC BUIL➢ING CAU. INC. <br />Named Insured <br />Counlersignra ,y „•_ '"' <br />%'lid@:Clfl:fa. of Li,,,n.,ie'a�NINieV¢I COMRKm[n <br />AS l O t r>S2R9 <br />11y1tu�; rlcP <br />�•d <br />12et11 dBO:inO go 82 unc <br />