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SJUR RTC% MANAGFWNT Q004 07 /1Z /R004 11:oa ?Al 714 .147 ?BOB <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR CO1V WRCIAL GENERAL LIABILITY POLICY <br />Insurance Company: AMW01111=y Grouo L - <br />This endorsement modifies such insurance es is afforded by the provisions of Policy # <br />i�]lyy- . ^4 01- t)20 (1- 14G41 -00 -0441 ielating to the following: <br />1. The City of Santa Arm 20 Civic Center Plaza, Santa Ann, California 92701; its <br />ohs employees, agents, volunteers and representatives are named as additional <br />insureds ( "additional insureds') with regard to liability and defense of suits arising from <br />ins <br />the operabous and uses performed by or on behalf of the named insured. <br />2. With act to claims arising out of the operations and uses performed by or on <br />behalf of fm rimed 1mora such insurance as is afforded by this policy is primary and is <br />not additional to or contributing with any other insurance carried by or for the benefit of <br />the additional insureds. <br />3. 17»a applies separately to each insured against whom claim is made or suit <br />is brought except with respect to the company's limits of liability. The inclusion of any <br />pereom or Organization as an insured shall not affect any right which such person or <br />orgeoization would have as n claimant if not so included. <br />4. With respect to the additional insureds, this insurarux shall not necancelled, or <br />materially reduced in coverage or limits except after thirty (30) days <br />boon given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana California 92701. <br />(Completion of the following, including eountcrsignature, is requited to Make this <br />oadorsemrent offective.) <br />Endorsement A3 <br />Ef fecnve 06/30/04 to 06/30105, this endorsement form as a part of <br />Policy# 1Tr11 -Cac - 01- 020f1- 14601,00 -041. <br />Tuned to St toeeoh Hod% Svatem <br />Named Insured <br />l_= PROVED AS TO FCCounteraignedby <br />Arrtbotized Representative <br />LISA E. STORCK <br />A,.cist:�nt City Attorney <br />