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04/10/2008 16:131 FAX [a 003 <br />t <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />lnsurancI Company Interstate Fire & Casualty Company <br />This endo Bement modifies such insurance as is afforded by the provisions of Policy <br /># DAN100 187 relating to the following: <br />1• The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, a ployees, agents, volunteers and representatives are named as additional insured's <br />("addition I insured's") with regard to liability and defense of suits arising from the operations and <br />uses perf rmed by or on behalf of the named insured. <br />2. Za <br />th respect to claims arising out of the operations and uses performed by or on <br />behalf of t e med insured, such insurance as is afforded by this policy is primary and is not <br />additional o or contributing with any other insurance carried by or for the benefit of the additional <br />insured's, <br />3. This insurance applies separately to each insured against whom claim is made or <br />suit is biro <br />ght except with respect to the company's limits of liability. The inclusion of any <br />person or rganization as an insured shall not affect any right which such person or organization <br />-would ha a as a claimant if not so included. <br />4. With respect to the additional Insured's, this insurance shall not be cancelled, or <br />materially duced in coverage or limits except after thirty (30) days written notice has been given <br />to the City f Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />(Completio of the following, including countersignature, is required to make this endorsement <br />effective,) <br />Effective 11 1 2010 to 1i/1/2011 <br />Policy # <br />Issued to &G Industries <br />Named Insured <br />Inc. <br />Countersig ed by e, <br />Authorized Represen ive <br />thls endorsement form as a part of <br />Page 34 of 36 <br />