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<br />. <br /> <br />10/09/20_01.._09;.15 _n_ 97}lJ~1. <br /> <br />COLONIAL S BAY ~U <br /> <br />PAGE 03 <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br /> <br />....... <br /> <br />In&UH.n~ Company _. ZURICH INSURANr.F. cn <br /> <br />Thia .ndorsernent modifies such inSUrilnce as Is afforded by tho provisions of Policy <br />1# PAS 3 8 7 0 0 8 4 6 relating to the followil1g: <br /> <br />1. Tne City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />92701: its officer=>, employe... egerrte. volunteel'B and repres&nlaliv.. are named as <br />_ addhlol1lll insureda ("additiomill Insureds") with reGard to liability and .fen.. ~ suits <br />liJriting from the oper.tiona.nd uses performed by or on behalf of the named InsurlKl. <br /> <br />." <br /> <br />2. With reapucl 10 olitilM arising out of the operations and lI5e5 plllformed by <br />or on behalf of the namell in5lJrlild, aueh inaurance n is afforded by this polley is <br />primary and i=> not additional to or contributing with any other inal.lratlCll carritld by or for <br />the benefit of the additional insureds. <br /> <br />3. Thl$ Insurance applies sepal1ltely tt:) @sd'l Insured against wnom claim' 15 <br />I'I1lld\l or suit iI'brought except with respect to the company'sllmlta of liability. The <br />inclulIian of any pel"$On or orgllnintion as an inlurtd .hlll not affeCt any right which <br />.uch person or organization would have ai II claimant if not $0 included. <br /> <br />-' <br /> <br />,. <br /> <br />4. With r6l;pect to the additional Insureal. 1/111 InllUlllnlilJ ,hall not be <br />cano(lllod. or materially reduced in cover. or Iimlt$ except after thirty (30) day' writtel'l <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza. S.nta Ana, <br />CalifOrnia 92701 <br /> <br />-, <br /> <br />(Completion of the following, indudine CQunter5ignalure. is' required to mak' this <br />codoroomonloffectivo ) <br /> <br />Effective <br />POliCY , <br />luued 10 <br /> <br />8-15-01 <br />PAS 38700846 <br /> <br />,this endorsement form IS a pert of <br /> <br />J.;l:EN ON Ml1l.. TJilr. <br /> <br />Named IllIured <br /> <br />Counteraigned by <br /> <br />~ <br /> <br /> <br />ized Repl1l58ntatlve <br /> <br />t <br /> <br />....... <br /> <br />APPROVED AS TO FORM <br /> <br />~. <br />, -~~-" - ' <br />l Ufa Sheedy ----,.dd.._~=._~_ <br /> <br />Deputy City Attorney I <br /> <br />I <br />