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0TY OF SANTA ANA <br />RISK MANAGEMENT a ebwAn a 4HUMAN REsciuri Es tu'Im��� <br />"r 1 <br />?lrk-1ging FPslk G»Ur �<t I''lJ'i1r VN (-ITrinciP <br />ADDITIONAL INSURED ENDORESEMENT <br />Insurance Company: —_� <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy # r,(`{.`-it",%`("j relating to the following <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, <br />agents and volunteers are named as additional insureds ("additional Insureds") with regard to liability and <br />defense of suits arising from the 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 or on behalf of the named <br />insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with <br />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 except <br />with respect to the company's limits of liability. 1"he inclusion of any person or organization as an insured <br />shall not affect any right which 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 canceled, or materially reduced <br />in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 <br />Civic Center Plaza, Santa Ana, California 92701. <br />Completion of the following, including countersignature, is required to make this endorsement effective, <br />Effective, �?" /aC /" <br />�,, > - / this endorsement form as a part of <br />Policyt#�--- <br />.. <br />Issued to dd.<v\e:=. <br />(Named insured) <br />Countersigned by <br />Aq, orized, epresentative <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DivislON <br />i; I Risk Mgmtiinsurance Requii etnenislAdditionai Insured Endorsement 081.52019 <br />