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<br />t"t(U'/ . <br /> <br />t-HX NU. ; (1.'1-04 (-0;)4';:1 <br /> <br />oc:: J.:; .:::.t:.Jt::J.::. .,i...l..J.t:..If'"OI.. j..J <br /> <br />j" . <br /> <br />'-' <br /> <br />~ <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMM.ERCIAL UENERAL LIABILITY POLICY <br /> <br />Tnl<umnce Company <br /> <br />Great American Insurance Company <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># PAC6536218 relating to the following: '. <br /> <br />1. The City of Santa Ana, 20 Civic CenterPla7..a, Santa Ana, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional insureds <br />("additional insureds") with regard to liability and defense of suits arising from tne operations <br />and uses performed by or on behalf(]fthe named insured. <br /> <br />2. With respect to claims arising out of the operations and u.~es perfo~d by or on <br />behalf of the named insured, such insurance llS is afforded by this policy is primary nnd is not <br />additional to or contributing with any other insuranec carried by or for the benefit of the <br />additional insureds. <br /> <br />3. This insurance applies separately to each insured against whom claim is made or <br />sui~ is brought except with rcspect to the company's limits of liability. The inclusion of any <br />person or organization as an insured shall not affect any right which sllch person or orguni7..ation <br />would have as a claimant if not so includcd. . <br /> <br />4. With respect to the additional insureds, this insurance shall not 00 cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br /> <br />(Completion of the rollowing, including countersignature, is required to make this endorsement <br />effective.) <br /> <br />Effective <br />Policy # <br />Issued to <br /> <br />May 3, 2003 , tbis endorsement form as a part of <br />PAC6536218 <br />Mprr,y H()lI<;" Transitional Livinq Center ETAL <br />Named Insured <br /> <br />Countersigned by <br /> <br />7j~'~ <br /> <br />Authorized Represen ative <br />Robin Hatfield - Broker <br /> <br />APPROVED AS <br /> <br />i2..~y" . <br />, . ~ ~ <br />~il:' fie <br />~.1Ura Sheedy 7~ <br />) t~ll!v c'- . / <br />. ~ ..ty A[!ornr.v <br /> <br />TO FORM <br /> <br />---~ <br />