Laserfiche WebLink
<br />, <br />. F eb :0'4 03 <br />'. MON I"EB 03 <br />, <br /> <br />FROM: 7149971994 <br /> <br />- <br />(7' 542-3653' <br />'....I <br />PACE <br /> <br />. po2 <br /> <br />10:32a <br />2003 <br /> <br />Id I' <br />03:33 ~ <br /> <br />lace <br /> <br />2 <br /> <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />fOK COMMERCIAL CtNERAL LIA~ILrTY POLICY <br /> <br />Insurance Company <br /> <br />PhUadelphia Insurance <br /> <br />This cndorsemer.t modifies such insurance co is a"orded by the pro'lis;o(\! OT Potiq <br />if PHPK0391~1 rel;;.ting \0 the follOWIng' <br /> <br />1. The City of Santa M~ 20 Civic Center PI.oza. $2I1ta M~. C..litorrja 92701 , <br />its ot:icers, employees, agentS and represen'"I,vES ~re n2meO "-5 additional insureds <br />\<idditionaJ insuredsO) with regard to Iietilhy end ceiense of suitS erising frcm !Jle <br />oper;:tions 2nd uses performed by or on ber.elf of \~e n<!meC insured. <br /> <br />2. Witil respect to cl2ims ~risi"g out of It.e Gperc.tions 2..d uses performed by <br />cr on b~M!f of U'\E named insured, such insurance as ls aiiorced by lhis policy is prim2ry <br />2fld is not additional to or contribUting "ith eny cl-'c( murmce canied by or lor tile <br />oeneflt uC the addition.::1 insureds. <br /> <br />3. This inSUl"Ql1ce appliES sepcrately to ~:dl insured 2gcinst whom cl:;im is <br />made or sui: is brought except witrl respect to l'1.. COIT.pany's limits of Uabffity. Tne <br />indusion at aITi person or organi%.Sicn as an insu~ec shalt not affect Cfly right which such <br />pGrson or arQanizetion would have 2S 2 de!marit r. . ,I so induCed. <br /> <br />4. \'-lilh respect 10 tile additional insureds, :r Js reur2l1Ce shell not be cancell ed. <br />or materlally rec\tx:l!d in coverage or limitS except <"~r lhirty (30) days written notice has <br />been given 10 the City 0; Santa M:;, 20 Civic Cema P!cz2, SCflla Ana..Ceiliamia 92701. <br /> <br />(CompletIon ot the following, Including counH'C';r;nature, i$ required 10 make Ihis <br />endorsement eflective.) <br /> <br />EHective <br /> <br />01101103 <br /> <br />. 11;$ endorsemenl form as a part ot <br /> <br />Policy '# PHPK039141 <br /> <br />ISSUEd 10 W;,eplace, A California Corp. <br />Named Insured <br /> <br />Coenter::Ji;ncd b~ ..--i1.r)v I\. n,<. ,-- I:'; . )- r.,...~) <br />f"_:;H).~ized Repr&'sent.a.ti.ve: <br /> <br />APFROVED AS '10 FORM <br /> <br />Ih~ <br /> <br />~J.2~ ;)~;~_Cii_.!~_/\ I :l'_rll;,'V <br />