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<br /> <br /> <br /> <br /> <br /> <br /> ATTACHMENT "B" <br /> <br /> SAMPLE ADDITIONAL INSURED ENDORSEMENT <br /> <br /> <br /> Insurance Company <br /> <br /> This endorsement modifies such insurance as is afforded by the provisions of Policy # <br /> relating to the following: <br /> <br /> 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br /> officers, employees, agents and representatives are named as additional insureds <br /> ("additional insureds") 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 /> <br /> 2. With respect to claims arising out of the operations and uses performed by or on <br /> behalf of the name insured, such insurance as is afforded by this policy is primary <br /> and is not additional to or contributing with any other insurance carried by or for the <br /> benefit of the additional insureds. <br /> <br /> 3. This insurance applies separately to each insured against whom claim is made or <br /> suit is brought except with respect to the company's limits of liability. The inclusion <br /> of any person or organization as an insured shall not affect any right which such <br /> person or organization would have as a claimant if not so included. <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 <br /> has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br /> California 92701. <br /> <br /> <br /> (Completion of the following, including countersignature, is required to make this <br /> endorsement effective.) <br /> <br /> Effective , the endorsement form as part of <br /> <br /> Policy # <br /> <br /> Issued to <br /> Name Insured <br /> Countersigned by <br /> <br /> <br /> <br /> <br /> <br /> <br /> 13 <br /> <br /> 25A-34 <br />