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<br />"'.....,, . "-'.........', -'n" 11-......" <br /> <br />,I""I^ l'lU. . r J........)D:;l~:;l~J. <br /> <br />~ep. ~~ ~~~~ ~~;4~HM ~4 <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance Company: <br /> <br />American Unity Grouo. Ltd. <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of Polley <br /># UNI-CGL-05-01-02lb (1-14601-00-05) relating to the following: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92702; its officers, employees, agents and volunteers are named as additional insureds <br />("additional Insureds") wIth regard to liability and defense of suits ariSing from the <br />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 performed by <br />or on behalf 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 by or for <br />the benefit of the additional Insureds. <br /> <br />3. This insurance applies separately to each Insured against whom claim is <br />made or 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 right which <br />such person or organization would have as a claimant if not so Included. <br /> <br />4. With respect to the additional insureds, this insurance shall not be <br />canceled, or materiallY reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92702. <br /> <br />(Completion of the following,' Including countersignature, is required to make this <br />endorsement effective.) <br /> <br />Effective <br /> <br />06/30/05 to 06/30/012, this endorsement form as a part of <br />UNI-CGL-05-01-020 (1-14601-00-05) <br />51. Joseoh Health Svstem <br />N dJ ~r <br />~:?iO'J~D ~~et n~." ountemgned by j':r'[i:;;j:!i;i::;_ i .' <br /> <br />PusP-. E. s,O~~;ne'i:;.fiI.l1tlirii-ii!ii!d:iR(\j;l~Sertfatl:V-e; . <br />. . tant C,t'i <br />. "~ot3) <br /> <br />Polley # <br />Issued to <br />