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<br />"2/(I:l/::IJ')) II II') r...." .:,...,"-' i'~<' '~IV'-' <br /> <br />~ <br />THIS SHEET MUST BE COMPLETED AND AccOMPANY <br />THE CERTIFICATE OF INSURANCE <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance company <br /> <br />GULDEN EAGLE <br /> <br />This endors~me'ltrnadlf1es such insurance as is afforded by the provisions of <br />Policy No. BP8u12941i relating to the following: <br /> <br />1, The City of Santa Ana. 20 Civic Center Plaza. Santa Ana, California 92701, its <br />officers, emploY9&S, agents, and representatives are named as additional <br />insureds ("additional insureds") with regard 10 liability and defense ot suits arising <br />from the 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 or on <br />behalf of the named insured, such insurance as Is afforded by this policy \s <br />prlmalY and is not additional to or contrIbuting with any other insurance carried <br />by or for the beneflt of the additional insureds. <br /> <br />3. This Insurance applies separately to each insured against whom claim Is made or <br />suit Is brought except with respecI to the company's limits of liability. The <br />inclusion of any person or organization as an insured shall not affect any right <br />which 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 cancelled or . <br />materially reduced In coverage or limits except after thirty (30) days written notice <br />has been given to Ihe City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92701. <br /> <br />(Completion of the following. including countersignature. is required to make this <br />endorsement effective.) <br /> <br />Effective 12/9/05 <br />CBP8072946 <br />Policy No, <br />lssuedlo [NTERIOR RESOURCES, INC. DBA: COMMERCIAL INTERIOR RESOURCES <br /> <br />. this endorsement form is a part of <br /> <br />Countersigned by <br /> <br /> <br />APPROVED AS TO FORM <br /> <br />Named Insured <br /> <br />.~ <br /> <br />H~misc:C.-:nili~.lC of lMLL~c:e aOdillDlUl endorscmenl <br /> <br />'f'!13 2/ ~-_._.- <br /> <br />Laura Stitt 51."., <br />.\ssistant C;!\ <br /> <br />E'd <br /> <br />1:11;'111 <br /> <br />d91:~I 90 EO uer <br />