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181 GROUP RFCA 11/3/15 AGR # PENDING REVIEWED BY: /, ill(-- EUNICE HEREDIA (PG 2 OF 8) <br />CITY OF SANTA ANA <br />ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company: XL Insurance America Inc. <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy fA LISD000&S37LI14A relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Callfornla 92701; Its officers, employees, <br />agents, volunteers and representatives are named as additional Insureds ( "additional Insureds ") <br />with regard to liability and defense of sults arising from the operations and uses performed by or on <br />behalf of the named Insured. <br />2. With respect to claims arising out of the operations and uses performed by or on behalf of the <br />namedansured, Such Insurance as is afforded by this policy is primary and is not additional to or <br />contributing with any other insurance carried by or for the benefit of the additional insureds, <br />3. This Insurance applies separately to each insured against whom claim is made or suit Is brought <br />except with respect to the company's limits of liability. The inclusion of any person or organization <br />as an Insured shall not affect any right which such person or organization would have as a claimant <br />if not so included. <br />4. With respect to the additional Insureds, this Insurance shall not be cancelled, or materially reduced <br />In coverage or limits except after thirty (30) days written notice has been given to the City of Santa <br />Ana, 20 Civic Center Plaza, Santa Ana, California 92701 <br />(Completion of the foilowinq� including countersignature, is required to make this endorsement effective.) <br />Effective _ 0 4- f 3 0 ( 101 ,S <br />, <br />this endorsement form as a part of Policy 9k US00008537LI15A <br />Issued to: IBI Gr —, <br />Countersignature <br />Pro- ForrrrSincmirtw)fc,,w p <br />