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<br />" <br /> <br />- <br />OCT~17-2002 16:21 <br /> <br />" <br /> <br />T'-''' CAMBODIAN FAMILY <br />.., <br /> <br />714 571 1974 <br /> <br />P.04/04 <br /> <br />..." . <br /> <br />ADDlTlONAL INSURED ENDORSEMENT <br />FOR CXlMMHRCIAL Om-rE.1V'L LIABILITY POLICY <br /> <br />Insurance Company ._. ~HI.':ADELPHIA INDEMNITY INSURANCE CO. <br /> <br />This cndlll'!lement modifies such insurance lIS ill Ilff(lrded by the prClvl~ions nl' Policy <br />II ~H~Jm?nQQ1 relating to the following: <br /> <br />1. . Theeltyotsanta A1Ill,20 Civic Center PIII2a. Salibi AilaoClllifomia92701; Its <br />officers, employces, agents, voJunteeTll and TCp~entativC3 Ill'C nll/Ded lIS ~ditlonal insllTed., <br />("adc1itional insureds") with rCl:erd to Iillbllity and defense ofsuits arising ITom the nperllriClns <br />end uses performed hy or on behalf oftbe named insured. <br /> <br />2. With ~pcet to claims arising uut oCtile operatioll8 md USell performed by or on <br />behnlfoftht: numed insured, such Insurance u Is afforded by thispollcy is primary and i~ not <br />Ilddltlonal to or eon.tributlng with any other insurallc;41 carried by or for the benefit oftllo <br />addItional insureds. <br /> <br />3. This imurancc IIpplics acparately to Cllch insured against whom claim i~ made or <br />suit is brought except with 1'll$pect to tIu; compally's limits of liabillty. Tho mclusion of any <br />person or organiZlltioD as an insured shall not afft:ct any right which such petliOll or organi7.lltion <br />would hllve u., 11 clai.nlll1t if not so incllldl;d. <br /> <br />4. With re!IpeCt tn the lldditillnal if\$\lrcds, this insurance shall not be cancelled, 01' <br />materiil1ly red~ed in coverage or limits except &flee thirty (30) days writtellllotiee ha.1 hecu <br />given to the City of SlUlta A.nll, 20 Civic Center Pwa, Santa Ana, CuIiComia 92701. <br /> <br />(Completion ofth.e following. including countersignature, is required to make thIs endor!lelllcnt <br />effective.) <br /> <br />Rffcc:tive <br />Policy" <br />Issued to <br /> <br />03/09/02 <br />PHPK020993 <br />THE CAMBODIAN FAMILY. <br /> <br />. this endorsement (onn as a part of <br /> <br />INC. <br />Named Insured ,/1-1 ~m ~ <br /> <br />MIKE V. MARTIN <br />Countersigned by PACIFIC GENERAL INSURANCE SERVICES <br />Authorlzcd R.epNscXltauve <br /> <br />APPROVED AS TO FORM <br /> <br />?:/JL' <br />.tR/ .t!-l; <br />!,;.iura Sheedy ! <br />If)cputy City Attorney <br /> <br />, <br /> <br />TOTAL P.12I4 <br />