Laserfiche WebLink
I <br />EXCEL PAVING CO. 15-6836 8. '15-6452 REVIEWED BY. <br />EUNICE HEREDIA (PG 7 OF 7) <br />ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company 01d Republic General Ins. Com, <br />This endorsement modifies such insurance as is afforded by the provisions of policy <br />#k AICG50211511 relating to the following; <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92702; its officers, ornpioyees, agents and volunteers 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 />2, With respect to claims arising out of the operations and uses performed by <br />or on behalf of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other Insurance carried by or for <br />the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to the company's limits of liability. The <br />Inclusion of any person or organization as an Insured shall not affect any right which <br />such 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 <br />canceled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, <br />California 92702, <br />"10 nays Nuked Cencollatlonior Non-payment of Premium <br />(Completion of the feliowing, Including countersignature, Is required to make this <br />endorsement effective.) <br />Effective 06101/16 _ this endorsement form as a part of <br />Policy AlOG50214511 <br />Issued to Palp Inc, dba Excel Paving company __- <br />Named Insured <br />Countersigned by <br />Authorized Representative <br />