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<br />• <br />AGREEMENT <br />ADDITIONAL INSURED N1 6MPff4 x <br />FOR COMMERCIAL QENERAL LIABILITY POLICY <br />Insurance Company Nonprofits Insurance Alliance of California <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># 2011-08472-NPO relating to the following: <br />1. The City of S anta Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional insureds <br />("additional insureds") with regard to 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 primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. <br />3.X1?s1rdisi?Iiirli>Kiii.?SXXXXX <br />N Y.& ?zYHtTAxxxxxxx <br />XMINNY&AX .NFaX KI+1)kNfX-KKA1 :XXM,:EASE REFER TO CG0001 PORTION OF THE <br />POLICY, ATTACHED. <br />4. With-respect to the additional insureds,. 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 />*:EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM <br />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br />Effective 7/12/2011 this endorsement form as a part of <br />Policy 9 2011-08472-NPO <br />Issued to MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY <br />Named Insured <br />Countersigned by <br />Authorized Re resentative <br />DIP E K <br />?ISp, E. Swot rney <br />Assistant City \