Laserfiche WebLink
<br />- <br /> <br />.. <br />Ru~ 14 06 03:14p <br /> <br />10.5 <br /> <br />APDJTIONAL INSURED ENDORSEMENT <br />'FOR COMMERCIAL GENERAL UABIUTY POLICY <br /> <br />Insurance Company _M'l~~NTERN~~.~ROUP (A/G} <br /> <br />This endorsement modi fics such insurance as is afforded by the provisions of Policy <br /># _~16.. ...__ relating to the following: <br /> <br />1. The City of Santa Ana. 20 Civic Center Plaza. Santa Ana, California 92701; its <br />officers, employt:es, agents, volunteers and representatives are named as additional insureds <br />("additional insureds") with regard to linbility and defense of suits arising from the operations <br />and uses perfl"lI1ncd hy or on behalf of the named insured. <br /> <br />2. With respect to claims arising out of the OperatiOlUi and uses performed by or on <br />hehalf of the named insured, su~h insurance as is aITordt.-d by this policy is primary and is not <br />additional to or contributing with any other insurance camed by or for the benefit of the <br />additional insureds. <br /> <br />3. Thi:i. insurance applies separalely to each insured against whom claim is made or <br />suit is brought except v.rith respect to the company's limits of liability, The inclusion of any <br />person or organization as an insured shall not affect any right which such person or organization <br />would have as it claimant ifnnt so included. <br /> <br />4. With. respect to lhe additional insureds, this insurance shalloot be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza M-22. Santa Ana, California 92701. <br /> <br />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br /> <br />Effective 7/1106 '~.m.__' this endorsement fonn as a part of <br />Policy # ----4022.61!L-_ ___.. _ . __._ <br />Issued to .........JlMIED INSPECTION & TE$TING INC. .. _ <br />Named Insured <br /> <br />~.ltCTSjgllcd by __~ ~ <br />}\S 'to '-'" Authorized Representative <br />~t.D <br />. ~. "i?~0 ,.... <br />~:: 21'. .'; {,.. ..-;::::-;. '/--.. <br />I-V ..---::::-;~.' <br />.... S"'lO ',;_ <br />\..\S~ (:.'. F>-\.\.UI'\ <br />",' C\\'j ) <br />. toPC <br />r? 0(- d- <br />