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25O- WELLS FISHER-SANTIAGO PARK
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10/06/2008
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25O- WELLS FISHER-SANTIAGO PARK
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Last modified
1/3/2012 4:27:37 PM
Creation date
10/1/2008 12:15:33 PM
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City Clerk
Doc Type
Agenda Packet
Item #
250
Date
10/6/2008
Destruction Year
2013
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<br />EXHIBIT C <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br /> <br />Insurance Company <br /> <br />This endorsement modifies such insurance as is afforded by <br />the provisions of Policy # relating to <br />the following: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701; its officers, employees, agents, volunteers and representatives are named as <br />additional insureds ("additional insureds") with regard to liability and defense of suits <br />arising from the operations and uses performed by or on behalf of the named insured. <br /> <br />2. With respect to claims arising out ofthe operations and uses performed by <br />or on behalf of the named insured, such insurance as is afforded by this policy is primary <br />and is not additional to or contributing with any other insurance carried by or for the <br />benefit of the additional insureds. <br /> <br />3. This insurance applies separately to each insured against whom claim is <br />made or 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 which such <br />person or organization would have as a claimant if not so included. <br /> <br />4. With respect to the additional insureds, this insurance shall not be <br />cancelled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92701. <br /> <br />(Completion of the followingr including countersignaturer is <br />required to make this endorsement effective.) <br /> <br />Effective <br />Policy # <br /> <br />Issued to <br /> <br />, this endorsement form as a part of <br /> <br />Named Insured <br /> <br />Countersigned by <br /> <br />Authorized Representative <br /> <br />Page 7 of7 <br /> <br />250-16 <br /> <br />9/25/2008 <br /> <br /> <br />- <br />
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