Laserfiche WebLink
05/16/2012 11:28 9496462566 SHAHIN CHEAR <br />PACE 02/03 <br />ADDMONAL INSURED ENDORSEMENT <br />Insurance Company: <br />STATE FARM GENERAL INSURANCE COX <br />�P.NY <br />This endorsement modifies such insurance as in afforded by the provisions of <br />Policy # 92 -CE -F778-8 G <br />Relating to the following: j <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, <br />officers, employees, agents axed representatives are named as addit�zonal <br />m <br />insured with regaxd to liabWty and defense of suits arising from the <br />operations and uses performed by on behalf of the named insured. <br />2. With respect to claims arising out of the opearatij ns and uses performed <br />by on behalf of the named insured, such insuxaurrce as is afforded by this <br />policy is primary and is not additional to or co0ributing with any other <br />insurance carried by or for the benefit of the adclittional insured. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to file company's limits of <br />liability. The inclusion of any person or organization as an insured shall <br />not affect any riglit which such person or organization would have as a, <br />claimant if not so included. <br />4. With respect to the additional insured, this insurance shall not be <br />cancelled, or materially reduced in coverage or limits except after thirty -30 <br />days written notice has given to the City of S,-mta Ana, 20 Civic Center <br />Plaza, Santa Ana, California 92701. <br />Completion of the fallowing, including countersignature, is required to make <br />this endorsement effective. <br />Effective 05/14/2012 flus exidorsement form as part of <br />Policy # 9-2 <br />rte_ 7� <br />Issued to,rouEs_,XQtrx <br />Name tnsureq <br />Countersigned by SHAHIN CHEAR <br />Authorized Representative <br />Title: AGENT <br />3/28/11 <br />