U.S. HEALTHWORKS 2A - 2004 - Laserfiche WebLink

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ADDITIONAL INSURED ENDORSEMENT I C Hartford Casualty Insurance Co.; Hartford Fire Insurance Co. nsurance ompany This endorsement modifies such insurance as is afforded by the provisions of Policy # 72UENUM8309 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, ernployees, agents and volunteers are narned as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses perforrned by or on behalf of the narned insured. 2. With respect to claims arising out of the operations and uses perforrned by or on behalf of the narned insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective September 1,2005 , this endorsement form as a part of Policy # 72UENUM8309 Issued to u.s. HealthWorks, Inc. Countersigned by resentative "./ ~/ ~,.), 0.. /, )j, 0/(.__ ~I.::,-,_~'i:(fl_.</__':~__' . ~/