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<br />rI'<U', . <br /> <br />~HX NU. :tlq b4(-oJq~ <br /> <br />:Jc. .J c:.t::.It:h:, ....L~-I 1..,.J <br /> <br />~ ". . <br /> <br />" <br /> <br />""'" <br /> <br />"-t/ <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMM_ERCIAL miNERAL LIABILITY POLICY <br /> <br />Insurance 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 AM, 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 the operations <br />and uses performed by or on behalfllfthe named insured, <br /> <br />2, With respect to claims arising out of the operations and u.~es perfomted by or on <br />behalf of the named insured, such insurance as is afforded by this policy is prirllllry and is not <br />additional to or contributing with any other insurance 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 respect to the company's limits of liability. The inclusion of any <br />person or organization as an insured shall not affect any right which such person or organi7.ation <br />would have as a claimant if not so included. <br /> <br />4. With respect to the additional insureds, this insurance shall not be cancelled, or <br />materially reduced in eovcrage 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 following, including countersignature, is required to make this endorsement <br />effective.) <br /> <br />Effective <br />Policy # <br />Issued to <br /> <br />Mav 3, 2003 , this endorsement form as a part of <br />PAC6536218 <br />Mprry HOllse Transitional Livinq Center ETAL <br />Named Insured <br /> <br />Countersigned by <br /> <br />Y{~'~ <br /> <br />Authorized Represen ative <br />Robin Hatfield - Broker <br /> <br />APPROVJ:D'S' ", <br />/', ~ .^" 10 FORM <br />~NY; , 'i <br />-..- i I: , ( <br />~;Jur,l Sheedy 7'_______.' <br />) I~tnv C' . I <br />. ~ ". ty A (forn~l' <br />