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ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company; <br />This endorsement modifies <br />F such insurance as in afforded by the provisions of <br />Policy# �..63bOFr$� <br />Relating to the following; <br />1. The City of Santa Arta, 20 Civic Center Plaza, Santa Ana, California 92701, <br />officers, employees, agents and representatives are named as additional <br />insured with regard to liability and defense of suits arising from the <br />operations and uses performed by on behalf of the named irmt ed. <br />2 With respect to claims arising out of the operations and uses performed by <br />on behalf of the named insured, such insurance as is afforded by this <br />Policy is primary and is not additional to or contributing with any other <br />insurance carried by or for the benefit of the additional insured. <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 <br />liability. The inclusion of any person or organization as an insured spell <br />not affect any right which such person or organization would have as a <br />claimant if not so included. <br />4. With respect to the additional insured, this ins�rranre shall not }te <br />cancelled, or materially reduced in coverage or limits except after thirty -30 <br />days written notice has given to the Cfty of Santa Ana, 20 Crvfc Center <br />Plaza, Santa Ana, California 92701. <br />Completion of the following, including countersignature, is required to make <br />this endorsement effective. <br />Effective to 9 %2 01 ] this endorsement form as part of <br />Policy # &;L&3La42,q <br />Issued to PNN' LF'2v�,bt-bt�NG/- UP, 1ric, <br />—Nome Insured <br />Countersigned by <br />���Gnr✓� 46r� <br />Authorized Representative <br />Title:- AGi=.t.{T/ aILUkFP—, <br />3/78/11 <br />