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<br />Apr-04-03 lO,OBA <br />Ilal>. .l~ ~.3 u"';"''''p <br /> <br />t"'UDI1C WorKs <br /> <br />Yar'd <br /> <br />71" -6"" '33"2 <br /> <br />P.02 <br />p.3 <br /> <br />RXfllBlT B <br /> <br />ADI)lTlONAL INSURED E@OIl..SF.M~NI <br />FOR.r.QM.MI.ili..C1~CJIiliffi8L L1AlilLlTY POua <br /> <br />lllsurancl.! CUnIj:lnny k!lllu:a..GROVE.._ _ ._ _._ ._ _ <br /> <br />This ~ndllfsement modiJies such insurance as is aflordcd by the provisions of Polie}. <br />1112AS!U9119.Q 650.... _ . ,dllliJlg to th~ thl111wing: <br /> <br />I. lhe Cil} u/'Sama Ana, 20 Civic C~nter Pla7.1, Santa An.., Califi'rnia 1)2101; iu <br />oll'ic~rs, cmpluyees, agcnts, \lolullt~ers and repn:sel\lativcs arl' named as addilior~d insured.< <br />I "~lddjlional insureds") With regard to liabllity and defense of suits arising trom the operatiolls <br />am.l uses pcrlc'r[llcd by or on bchlllf (,fthe named insured. <br /> <br />~. With rl'SpCCllO claims arisinll oul ofl,"e operations and uses perfilrnu',j by or on <br />bd.lll r of the named insUIt~u, such insurance as is alI(mlcd by this po,"cy is primary und is nol <br />additional to Or contribUling with any \tlh~r insunUlee carried by or fur thc benl.'lit uflhe <br />additiOTwl insllrcd~. <br /> <br />3. This insurance ~pplics separately to each insured against whom claim is made OJ' <br />suil is br(lught ex.cpt with n::speCI to the eompan}"s lImits of Hahi!ily. lhe incJusio)ll of any <br />pl~rson or lIrg.mi73linn as nrI insured Sh;lll nlll antel any ri!,!ht which such person or llrganiJ:atiull <br />"'auld have a.~ a claimant ifnot so includ~d. <br /> <br />4. Wilh respecr to the addiliollul insureds, Ihis insw-dJ1ce shulll10t hc canccHcd, or <br />mawrially redllccu in cllverage or limits cxcepl allel thirt}' (30) days writtcn notice I,us been <br />givcn to lh~ CilY of Santa Ana, 20 Civic C~l1lcr I'la~a, 5ama Ana, Califurnia 92701. <br /> <br />I Completion of the followmg, including countersignature, is required tu nmke this clIdorscment <br />eflccliw.) <br /> <br />Effeclive -.....912.5.LD2_ _ _ . Ulis endorscl11ent till'm asa pan or <br />Policy # P.1lSJl..l9.09..D65.0 _ _ _ ____ <br />l>>sucd to _B~EHS-5~_._.. _ _ _ _ _ _ _ _ __,__ <br />Named Jnsum! <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />Laura Sh~ <br />Deputy City Altorney <br /> <br />Countersigned by _ <br /> <br /> <br />--, <br /> <br />8 <br />