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25H - AGMT - YOUTH PROVIDERS
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Last modified
6/19/2018 10:24:34 AM
Creation date
6/14/2018 7:57:29 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25H
Date
6/19/2018
Destruction Year
2023
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EXHIBIT 2 <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company GYfV-+ 7111WVImn p6owi SV1S1.1'myje-c <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># PRC 5154tkD 13 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. 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 cancelled, 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 �Q tS P.DI this endorsement form as a part of <br />Policy # BAc r 194WD Lei <br />Issued to C7fanca�( �A i fnRsa�rvzhi{��, C�pS <br />Named Insured <br />Countersigned by <br />Au orized Representative <br />25H-188 <br />
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