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<br />" <br /> <br />T"" CAMBODIAN FAMILY <br />~ <br /> <br />r. <br />\ I <br />""-tI <br /> <br />714 571 1974 <br /> <br />P.04/04 <br /> <br />QCT-1Z-2002 16:21 <br /> <br />'... ~.. <br /> <br />ADDITIONAL [NSU~D IlNDORSBMBNT <br />POR COMMHRCIAL GENERAL LIABILITY POLICY <br /> <br />c" .,lLE ON FILE <br />,." ",~t PROCEED <br />..'._ h,SURANCE .IRES <br /> <br /> <br />Insurance ComplmY _' ~HI.I;ADELPHIA INDEMNITY INSURANCE CO. <br /> <br />Thi, endtll'l\6men! modifies such insurance lIS is Ilff'orded by the provisions Ill' Poligy <br />II ~HPTm?nQCl1 ....lllting \0 thG followina: <br /> <br />L- . The eky of'Santa A-nn. '20Civie Center PIl\2a. Santa Ana-CAlifomia 92701; Its <br />offiec:ts, cmploYCl:5, agents, voluntccors And l'1:pte.'entlltive, arc named as Cldditlonal ins\lreds <br />("additional illfUl'eds") with rCBard to liability and dofCII$C of suits arislng trolD the operations <br />Ilnd u,es perfom,ed by nr on behalf' ofthe named Insured. <br /> <br />2. With "~pcc;l to claill1S ari~ing uut (ICthe operations and USCll perfo:mecJ by or on <br />behlllfoflh.. numed insured, such insurancc u is afforded by this pollcy is primary and i~ nnt <br />additional to or CClJltributing with any oth<:t insurlllllXl earned by or for the benefit llithe <br />additional insureds. <br /> <br />3. Thi~ imumnc;Q applies separately to el1el1 Insured again:n whom claim ill made or <br />suit is brought exee!'t with Te$~ to the c;ompany's limits of liabillty. ihclnclusion of any <br />person or organiZlltlon 115 an insured shall not a.fft:Ct any right whic;h suc;h penilln or oreanization <br />would hllVll us n clai'Iull1t if not so iucllldlPd. <br /> <br />4. With respect tll the ILlIditional jnsunxls, this insurance shall not be c;anedled, 01' <br />materially reduced in eoveralle or limits except aftl:r thirty (30) days wriuen notic;e hall been <br />given to the City of SWlta Ana, 2Q Civic: Ccn.tcr Plua, Santa Ana, C..lifomia 9270 I. <br /> <br />(Completion of the following, inc;luding oounlcrsignatUte, is fIlquircd to make thIs endorsement <br />c;ffcc;tivc.) <br /> <br />F.ffCGuvc <br />Plllicy# <br />bsued to <br /> <br />03/09/02 <br />PHPK020993 <br />THE CAMBODIAN FAMILY, INC. <br />Named Insu~d ,/11 ..Jk--'M ~ <br /> <br />MIKE V. MARTIN <br />Countc;raigned by PACIFIC GENERAL INSURANCE SERVICES <br />Authorlzc;d Representative <br /> <br />. this endorsement fonn as a part of <br /> <br />APPROVED AS TO FORM <br /> <br />~.,(h./, <br />~-U'/ t":.:z <br />1,Aiura Sheedy / <br />Deputy City Attorney <br /> <br />, <br /> <br />TOTAL P.04 <br />