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ADDITIONAL INSURED ENDORSEMENT <br />Insurance CompanyZ kFq �MW <br />This endorseme t modifies such insurance as is afforded by the provisions of Policy <br /># relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents and volunteers are named as additional insureds ("additional <br />insureds") with regard to liability and defense of suits arising from the operations and uses <br />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. 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 of any <br />person or organization as an insured shall not affect any right which such person or organization <br />would have as a claimant if not so included. <br />4. With respect to the additional insureds, this insurance shall not be canceled, 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 />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br />Effective(,91 (this endorsement form as a part of <br />Policy# "t a°L'C _ —U� S-4 - r 6-1 <br />Issued to <br />1,Px(i,'Ned Countersigned by _ { <br />V Leo zed Represe <br />Office Of Luz Patricia NUI 10 <br />VeV� ai7tciYili 118 W. MacAurthM Blvd. <br />t,��a G earl. Santa Aiia, CA 92707 <br />Bus: C7[4) 549-2058 <br />Fax: (71=4) 549-2356 <br />License#OC31967 <br />CITY OF SANTA ANA RISK MANAGENIENT 26 CIvic CENTER PLAZA, SANTA ANA, CA 927011 TEL (714) 571-4200 <br />