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JAN-24-2005 07:49 OCTFCU ANAHEIM 07 714 259 4354 P.02 <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />�' <br />Insurance Company (4In,5,3 't4 lie t`QSS-�SUro�w <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># Cot 90123L9,0o relating to the following: <br />1. The City of Santa Ana, and the City of Santa Ana, located at 20 Civic <br />Center Plaza, Santa Ana, California 92701; and their respective officers, employees, <br />agents, volunteers and representatives are named as additional insureds ("additional <br />insureds") with regard to liability and defense of suits arising from the operations and <br />uses performed by or on behalf of the named insured. <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 primary <br />and is not additional to or contributing with any other insurance carried by or for the <br />benefit of the additional insureds. <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 such <br />person or organization would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be <br />cancelled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the Community Redevelopment Agency of the City of Santa <br />Ana, 20 Civic Center Plaza (M-25), Santa Ana, California 92701. <br />(Completion of the following, including countersignature, is required to make this <br />endorsement -effective.) <br />Effective _ /z/�S this endorsement form as a part of <br />Policy # €o(_ go-oo GZ 2p7i3 <br />Issued to g /� 4;q p ryti C "t- OC <br />Named Insured <br />�—//1,1�,� /�t5 <br />Countersigned by <br />Aut i Rep esentative <br />TOTAL P.02 <br />