Laserfiche WebLink
Mar 07'1210:03a TNTOnIyOnalnsuranca 951-780-7348 p.2 <br />ADDITIONAL INSURED ENDGRSEMENT <br />? llh.rr.rrl7l?7 a7 !"FA7FR Ai 1" iARTi TTY POT ICY <br />Insurance Company ,?IAQ?J D _d`tSLrtANLL. N-2009-075-003 <br />This endorsement rnodi5es such insurance as is afforded by the provisions of Policy <br /># '] ?.Sa/-?Nl_,(??(o??t relating to the following: <br />1. '£he City of Santa Ana, 2J Civic Center Plaza, Santa r1na, C.alifomia 5'2701; its <br />ofFicers, employees, agents, volunteers and representatives are named as additional insureds <br />("additional insureds") with regard t:o liability and defense of suits arising from the operations <br />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 on <br />behalf of the named insured, such insurance as is afforded by this policy is pritnat-y and is not <br />additional to or contributing with any other insurance carried by or for the benefit o£ the <br />additional insureds. <br />3. This insurance applies separately to rack insured against ?xrlaom claim, is made oc <br />suit is brought except with respect to the company's limits of liability. The inclusion of any <br />person or orga„i?ation as an insured shall not affect any right which such person or orgaT,;?Ation <br />would have as a claimant if not so included. <br />?_ With respect to the additional insureds, this insurance shall not be cancelled, or <br />materially reduced ss1 coverage or limits except after thirty (30} days written notice has been <br />given to the City of Sans Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />(Completion of the follew-ing, including countersignature, is requi-red w make this endorsement <br />e ffecti e. e_ ) <br />Effective <br />Poolicy # _ <br />Issued to <br />/?(? f ? ,dais endorsement form as a part of <br />22 ra ll.i • f PEA - <br />Coutuersigrted by i' d L4? / 1' Y? <br />Authorized Representative