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PI- MANU -1 (0'1/00) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />Primary and Non - Contributory Form for City of Santa Ana <br />THIS ENDORSEMENT CHAIQGES THE POLICY. FLF_SSE REP.D IT CARF. 'd'IILL'Y. <br />AD- �ITIONAL INSURED <br />PR LMF�R �' APdD —CONTRIBUTORY RSSUF2Ah CE <br />Th i£= andors�nn�nt moth °ies insurance pray i:7 r_.d under the follow '!ng: <br />COP'2-TER1-'IP.L GENERAL LIABILITY COVERAE L'PR'I' <br />SCHEDULE <br />Name of Parson or Organization (Additional Insurad):Ci-y of Santa Ana, its <br />off -cars, agantc, and arPl.y," , Attn: Silvia Cuevas, 26 Civic Center Plaza, <br />Santa Ana, CA 4 ?"70l <br />Effective Date: 06/OS/2012 <br />SECTION If - Wd0 1S AN RdSURED Is a:n-n�.iad as �n addiLi:-a a1 <br />insured the per—(s) or organization (s) shown in the endorsariant Schadul a, <br />ut on_y with respect to liability for "bodily in�— y, "p—party damage" or <br />"personal and advert isinq injury" arising out of or slating to your <br />negligence: <br />1. In the porfcrmancc of your ongoing opc rat ions; or <br />2. In connection with your pramis— --d by or re—d to you. <br />That occurs on or after the effective data shown_ ir. the endorsement <br />sche(i <br />ule. <br />This insurance is primary to and non -cunt cibc to cy with any other i.nsuranca <br />maintained L-y the parson or organization (Additional Insured), ex_c_ept_ for <br />loss resu ltinq from the sole negligence of that parson or organization. <br />This condi Lion applies even if oLhec valid acd is <br />—v labl, to then Additional lnsured for a loss or "occurrence•' we cover for <br />this P.dditicnal Tn su red. <br />All other terms and conditions of this Policy remain unchanged. O,v£D AS VC) FARM <br />A4YR <br />sz pF2CK e <br />Page 1 of 2 L \SA E" P.ttOCn y <br />Assistant City <br />3 )� <br />