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ADDITIONAL INSURED ENDORSEMENT <br />Insurance Company Guldeone speoiaity Mut ins co <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br />#01-003o-672 relating to the following: <br />1. The City of Santa Ana, its officers, employees, agents, and volunteers are <br />additional insureds ("additional insureds") with regard to liability and defense of suits <br />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 <br />by or on behalf of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other insurance carried by or for <br />the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is <br />made or suit is brought except with respect to the company's limits of liability. The <br />inclusion of any person or organization as an insured shall not affect any right which <br />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 <br />canceled, or materially reduced in coverage or limits except after thirty (30) days written <br />notice has been given to the City of Santa Ana, Public Works Agency, 20 Civic Center <br />Plaza, Ross Annex, M-93, Santa Ana, CA 92701. <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective.) <br />Effective 03/02/2022 this endorsement form as a part of <br />Policy# 01-0030-672 <br />Issued to �pak®spea eey tazsea <br />(Named Insured) <br />Countersigned by C�Q% l ¢ <br />uthorized Represents e�----- <br />y g RbkMmmgtmentnMston <br />REAMED &APPRovED BY:. <br />��-----"� Risk Management specmlist <br />