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ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional <br />insured's ("additional insured's") with regard to liability and defense of suits arising from the <br />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 <br />on behalf of the named insured, such insurance as is afforded by this policy is primary and is <br />not additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insured's. <br />3. This insurance applies separately to each insured against whom claim is made <br />or suit is brought except with respect to the company's limits of liability. The inclusion of any <br />person or organization as an insured shall not affect any right which such person or <br />organization -would have 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 reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective.) <br />Effective <br />, this endorsement form as a part of <br />Policy # <br />Issued to <br />Named Insured <br />Countersigned by <br />Authorized Representative <br />Page 12 of 21 <br />19D-14