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<br />_' Ma~...31 05 10:0Sa <br />Ha~ 24 05 10:17a <br /> <br />j 11 at 1 <br /> <br />p.2 <br /> <br />ADDlTI<;lNAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br /> <br />IllSUIance Company ...J,\u\;..(-l)(r\ Cn"',., ,'. ~ 'kd- L",<;. (~ <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># i!f;~(} ~\ ~) relating to me following: <br /> <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 9270 I; its <br />officers. employees, agents, volunteers and representatives are named as additional insureds <br />("additional insureds") with regard to liability and defense of suits arising from the operations <br />and uses performed by or on behalf of the named insured. <br /> <br />2. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, :such inSW'lUlCC as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. <br /> <br />3, This insurance applies separately to each insured llgJIinst whom claim is made or <br />suit is brought except with respect to the company's limits of liability, The inclusion of any <br />person or organization as an insured shall /lot affect any right which such person or organization <br />would have as a claimant if not so included. <br /> <br />4. With respect to the additional insureds. this illSlUllllCe shall not be cancelled, or <br />materially reduced in coverage or limits except after thirty (30) days written notice has been <br />given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, <br /> <br />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br /> <br />op' <br />Effective :;:) <br />Policy # . <br />Issued to \'k.J\ '\- \-\ <br /> <br /> <br />, this endorsement fonn as a part of <br /> <br />, \r~..... L: , <br />Named Insured <br /> <br /> <br />Countersigned by 9 ~~, <br />Authorized Rep . e <br /> <br />APPROVED AS TO FORM <br /> <br />'--/~-(,) ,;" /;:z <br />;<Laura Stitt ShccJy <br />AssiSlant City Attnrn~y <br />