Laserfiche WebLink
9 <br />ZURICH <br />ADDITIONAL INSURED <br />Policy No. Eff. Date of Pot. Exp. Date of Pol. Eff. Date of End. A envy No. Add]. Preen. Retum Prem. <br />$ $ <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Notwithstanding any inconsistent statement in the policy described in the certificate referenced herein or attached hereto, it is <br />agreed as follows: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and <br />representatives are named as additional insured ("additional insured's") with regard to liability and defense of suits arising from <br />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 or on behalf of the named insured, such insurance as <br />is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the bene- <br />fit of the additional insured. <br />3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the <br />company's limits of liability. The 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 cancelled, or materially reduced in coverage or limits except <br />after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701, <br />Except as stated above and not bi conflict with this endorsement, nothing contained herein shall be held to waive, alter or extend <br />any of the limits, agreements, or exclusions of the policy (ies) to which this endorsement applies. <br />(Completion of the following, including countersignature, is required t make this endorsement effective.) <br />Company Insured: PDS Tech, Inc. <br />Author' nsu nce Company <br />Laivanda Johnson Senior Vice President 1-800-727-1080 <br />(Print Name) (Title/Phone) <br />Countersigned <br />Authorized Representative <br />APPRO V I 9 f, j > . Vi <br />(_.Wy Attorney <br />U-GIr1114-A CW (10102) <br />Page 1 of l <br />