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CITY OF SANTA ANA <br />RisK MANAGEMENT, Gu aiaw 4 HUMAN RESOURCES <br />N°I.ma(png Rl%1, . Po>am. Change <br />ADDITIONAL INSURED ENDORESEMENT <br />Insurance Company: <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy# (cG�j`) relating to the following -5A udiC;.bO� i Ct` <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. The 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 LJ & /�2C /'/ , this endorsement form as a part of <br />Policy# ie0 �s 17-�,7 `?rl <br />Issued to <br />(Named Insured) <br />Countersigned <br />�Au�rized epresentative <br />RmleMarwganodD( <br />l: I Risk Mgmtllnsurance RequirementsiAdditional Insured Endorsement 08152019 REVIEVIm m BY: 5 APPROVED BY: <br />Risk Management Analyst <br />