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<br />.... I <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />Insurance Company GREAT NORTHERN INSURANCE COMPANY. <br /> <br />This endollQ11cnt modifies such insurance II! is afforded by the provisions of Policy <br />#3!17~~79!! relating to the following: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />9270 I. Its officers. employees, agents, volunteers and representatives are <br />named as additional insured ("additional insureds") with regard to liability <br />and defense and suits arising from the operations and uses performed by or <br />on behalf of tbe named insured. <br /> <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 <br />policy is primary and is not additional to or contributing with any other <br />insurance carried by or for the "enetit ofthe additional insureds. <br /> <br />3. this insurance lIPplies separa.tely to each insured lI.gainst whom claim is <br />made or suit is brought except with respect to the company's limits of <br />liability. Tbe inclusion of any person or organization 115 an insured shall <br />not affect any right which such person or organization would have as a <br />claimant if not so included. <br /> <br />4. With respect to the additional insureds, tltis insurance shall not be <br />cancelled, or materially reduced in coverage or limits except after thirty <br />(30) days written notice has been give to the City of Santa Ana, 20 Civic <br />Center Plaza, Santa Ana, California 92701. <br /> <br />(Completion of the following, including countersignature. is required to m*e this <br />endorsement efThcti ve.) <br /> <br />Effective 10-01-01. this endorsement forms as a part of Policy #35755795 <br /> <br />Issued to f-A.I.l'AC DB....' ONSITE FABRICATORS. LLC: ONSITF. FURNITURE <br />SERVICE <br /> <br />Named Insured <br /> <br />Countersigned by <br /> <br />ti,;j~# ~ <br /> <br />APPROVED AS TO FORM <br /> <br />~f~ <br />,{aura Shee y <br />Deputy City Attorney <br /> <br />EO/EO 'd <br /> <br />'ON XlJ~ <br /> <br />WlJ LO:OI 03M IOOc-90-030 <br />