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1oi22i2oo0'21:51'FAI <br />1. . <br />�1A11+� 'APB_ aR:._ h �� 'j.! ►R <br />�Ju�ut_I�ty \�C3��la.:. =.t r1. <br />Insutan.::e Company =�Ti} if, L#4 te-M e, V P A rnc-,E <br />This andorscalCW n'iodifi h insurame as is aM ded by the ptovisitms of policy <br />tl "� 4 1: )—S- to ttte following, <br />1. Tbc'City of Santa Ana„ 20 Civic Ccutcrplaza, Santa, California <br />92701; its affrcers� employees, agent, vohmteers and representatives ere named as <br />additional immVils i"additional insureds ") with mgard to liability and defeeae of =its <br />=ruing gam the opc. Mons and uses performed by or on behalf of the named iaWM& <br />2• with, respect to claims arising out of the operations and uses performed <br />or on behalf of the mimed insut'ed. such ins � as is afforded by <br />AM is not additional to or contributing thus poUcy is prtmary <br />benefit of the addirir. sal insureds, with `uY other iaftreace carried by or for the <br />3. This -IGtsuranee applies sepatsWy to each iaaured 4(�t q,� Haim u <br />made or strait is broul, ht except with respect to the mmtpany s dmin of liabi6p. the <br />inclusion of any per.;:al or organization as an insured shall not atlect <br />person or Organization would have as a claimsrrt ifrrot 'my which such <br />so urJuded. <br />d• With i spear to the additional <br />cancelled, or maie ial'y reduced in coverage � shall ) 4 be <br />notice has been v � or l 0 Civic after thirty (30) clays writtetl <br />give, to the City of Santa Ana, 20 Civic Cemter pjazj, Santa Ana, <br />California 92701. <br />(Completion of the fnl lowing, including cone der={ is required to make tbis <br />endorsement effective ) <br />Effective 1011,20 dG <br />Policy # this endorgearettt forth as a pact of <br />fainted to <br />Countersigned by <br />Authorized RepmsMtative <br />ht) <br />v Laura S;.0 - -,'� <br />it City Al., <br />exsn�puN � D. LA1Y1,liq, Mart <br />iwae „ae Ll�ggu�3n 1 <br />Or urge 90 4@41=09 <br />X <br />000/ /001 <br />