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Jun 'l ? <br /> <br />STRTE FRRM INS <br /> <br />ADDITIONAL INSt <br /> <br />hlsurarloe Cornpany <br /> <br />This endorsement modifies such insure <br />· ,-¢ 92-qo-oz04-,7, G,. relating to the folto,,, <br /> <br /> 1. The City of Santa Ana, 20 ( <br />its officers, empl,oyees, agents end rep, <br />('additional insureds") with regard to I; <br />operations and uses peHormed by or or <br /> <br /> 2. With respect to claims arisir <br />or on beha¢ ~f the named insured, such I <br />and is not additional ~0 or contributing' <br />benefk of the additional Insureds. <br /> <br /> 3/ Thls insurance applies sep <br />made or suit is brought except with res <br />inclusion of any person ur organization a <br />person or organization would have as <br /> <br /> 4. With respect to the additio~ <br />or mafenally reduced In coverage or limit <br />been given to the City o! Santa Aha, 20 <br /> <br /> (Completion of the following, includir <br /> endorsement effective.) <br /> <br /> Effective _. 04/2~5./o3 <br /> <br /> Policy # _ 92-0,8-q204-7 C <br /> <br /> Issued to TE'f,FO~,D~S c/o 'r-INDA K,'f.A <br /> Named Insured <br /> <br />,,i{OVi:L~ x~,L-, i ~, OR~'~ounterst9ned <br /> ('iiv <br /> <br />310378~43B <br /> <br />p.3 <br /> <br />RED ENDORSEMENT <br /> <br />STATE FARM <br /> <br />ce as is aCforded by the provisions of Policy <br />lng: <br /> <br />;iv[c Center Plaza, Santa Ans, California 92701; <br />usentatives are named a~ additional insurads <br />ab~lRy and defense of suits arising from the <br />behalf of the named insured. <br /> <br />g out of the operations and uses per[ormed by <br />~surance as is afforded by this policy is primary <br />vith any other insurance carried by or for the <br /> <br />~rately to each insured against whom claim is <br />~ect to the company's limits of liabilib/. The <br />an insured ~hall r~ot affect any right '.vhich such <br />ctalmant if not so included, <br /> <br />inSUreds, this insurance shall not be cancelled. <br />except aher th[rt-/(30) days wdtlen notice has <br />,ivic Center Plaza. Santa Aha, C~iifornia 92701. <br /> <br />countersignature, is required to make this <br /> <br />this endorsement form as a part of <br /> <br />CON <br /> <br /> <br />