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<br />ATTACHMENT "C" <br /> <br />Sample <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance Company <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy # relating to the following: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701; its officers, employees, agents and representatives are named <br />as additional insureds ("additional insureds") with regard to liability and <br />defense of suits arising from the operations and uses performed by or <br />on behalf of the named insured. <br /> <br />2. With respect to claims arising out of the operations and uses <br />performed by or on behalf of the name insured, such insurance as is <br />afforded by this policy is primary and is not additional to or contributing <br />with any other insurance carried by or for the benefit of the additional <br />insureds. <br /> <br />3. This insurance applies separately to each insured against whom claim <br />is made or suit is brought except with respect to the company's limits <br />of liability. The inclusion of any person or organization as an insured <br />shall not affect any right which such person or organization would have <br />as a claimant if not so included. <br /> <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 <br />(30) days written notice has been given to the City of Santa Ana, 20 <br />Civic Center Plaza, Santa Ana, California 92701. <br /> <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective.) <br /> <br />Effective <br />of <br /> <br />, the endorsement form as part <br /> <br />Policy # <br /> <br />Issued to <br /> <br />Name Insured <br /> <br />Countersigned by <br /> <br />9 <br />