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250 - WATER WELLS
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250 - WATER WELLS
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Last modified
1/3/2012 4:27:30 PM
Creation date
10/3/2008 12:41:56 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Item #
250
Date
10/6/2008
Destruction Year
2013
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EXHIBIT C <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company <br />This endorsement modifies such insurance as is afforded by <br />the provisions of Policy ## <br />the following: <br />relating to <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 />2• With respect to claims arising out of the 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 />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 />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 />(Completion of the following, including countersignature, is <br />required to make this endorsement effective.) <br />Effective <br />Policy # ,this endorsement form as a part of <br />Issued to <br />Named Insured <br />Countersigned by <br />Page 7 of 7 <br />Authorized Representative <br />250-9 925'2°°8 <br />
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