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AGREEMENT <br />ADDITIONAL INSURED # pgMV9kXX <br />FOR COMMERCIAL GENERAL 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 /># 2014 - 08472 -NPO 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 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. ��i���§ iiXs�Ap�ir�r' IiI�llfr; �aYr�{ �iI�13eg�i�i�li�iiC�Pl +i�trNr�tXs�r�xXX� , <br />t�l���ul�c��xa�l�at�l� ,a�xx���rr,�a�;xxxxx <br />-X XMNM2KI'Fitrli$'r1 XXXYPY6EASE 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)'Uays Written notice has been <br />given to the City.of Santa Ana, 20:Civio 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 11//2014 this endorsement form as a part of <br />Policy # 2014- 08472 -NPO <br />Issued to Mental Health Association of Orange County <br />Named Insured <br />Countersigned by <br />44uthoi�7e sentative <br />'O vos% <br />NIP <br />510V�CK <br />4\SA ��ity ,4ttarneY <br />mss,\ >taat <br />