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CITYOFSANTAANA <br />Rim< MANAGEMENT 2 d4,4e m 4 HUMAN RESOURCES <br />Managing Risk mmaoi Positive Change <br />ADDITIONAL INSURED ENDORESEMENT <br />Insurance Company: <br />This endorsement m/—o7diffiies such Insurance as is afforded by the provisions of �/ /` <br />Policy #_T �I (mil � 30 r ) _ relating to the following 1111'k Z 7N 6'6, & U721 <br />czjov r <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 1'C) this endorsement form as a part of <br />Policy# `I�`i��'"/ lj�.� �Z) *� <br />issued to /C� / 1 �� �i CJ%= �%Vu - �Cl'JZ% <br />(Named Insured) <br />Countersigned by <br />AuthorizedRepres`entatye <br />! iRisk Mgmt�lnsuronce Requirementsr'Additionai Insured Endorsement 08152019 <br />3 (( REVIEV/EO&pMtPIROVmBYq: <br />81111 � f•'1Fu4vnMQ R. Vi.4tf✓F[N.(. <br />'' Risk Management Analyst <br />