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THIS SHEET MUST BE' COMPLETED AND ACCOMPANY <br />THE CERTIFICATE OF INSURANCE <br />ADDITIONAL INSURED ENDORSEMENT" <br />Insurance company FIREMANS ,FOND INSURANCE COMPANY <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy No. MZx80859109 _ relating to the following: <br />1 • The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its <br />officers, employees; agents, and representatives are named as additional <br />insureds (°additional insureds") with regard to liability and defense of suits arising <br />from the operations and u M performed by or on behalf of the named insured. <br />2• With respect to claims ark ing out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by this policy Is <br />Primary and is not additfotial to or contributing with any other insurance carried <br />by or for the benefit of the additional insureds. <br />3. This Insurance applies separately to each insured against whom claim is made or <br />suit is brought except with respect to the company's limits of liability. The <br />inclusion of any person or organization as an Insured shall not affect any right <br />Which such person or organization would have as a claimant if not so Included, <br />4• With respect to the additional insureds, this insurance shall not be cancelled or <br />materially reduced in coverage or limits except after thirty (30) days written notice <br />has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92701. <br />(Completion of the following, Inch iding countersignature, is required to make this <br />endorsement effective.) <br />Effective 08-13-06 <br />this endorsement form is a part of <br />Policy No. MZX80859109 <br />!Ssuodto PACIFICBUILDING CARE, INC, <br />Named Ensured ""— <br />Countersigned by <br />&iniscCcniGcvm of inci,q❑��,,klilioualen; � �'�� •_-- <br />bruncn <br />/3 <br />b d 12eIIl eTt,:Go 90 9T unr <br />