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A11.L1l.allV1 Al. y SAMPLE ADDITIONAL INSURED ENDORSEMENT ATTACHMENT "B" SAMPLE ADDITIONAL INSURED ENDORSEMENT Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and representatives ate named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the game insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the buy's limits of liability The inclusion of any person or organization as an insured shall not affect any right which such person or organization world have as a claimant ifnot so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or m4ana liy reduced in coverage or Limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this eft effective.) Effective . the endorsement form as part of Policy # Name lnsuried Countersigned by 18