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<br />'-' <br /> <br />....,; <br /> <br />.... <br /> <br />'~ <br /> <br />ADDITIONAL INSUR.ED ENDORSEMENT <br /> <br />INSURANtl COMPANY GEMINlINSlJIl.ANCE COMPANY <br /> <br />This endOl'stIll0ll1 modifies such insurance Os i!I affDlCcd b)' the !>1'Qvlsl.'"S of Polley <br />IlVCCr000869 rellllng :0 lIle fotlowina: <br /> <br />1. The Clty of Santa Ant, 20 Cil~e Cenlt! Plaza, S!IIla Ana, California 92701;;1.1 <br />offi<ars. employ<cs, agems and represe~tative are named as lldditional inSUr.ds <br />("additiollal insurl!ds") wjth regard 10 liobility and d.fellle ofsuils asisirig from <br />the opeI.tions and us<s perfurmed by or on behalf of the named insl4ods. <br /> <br />2. Wilh respect to olaim..ri..inll uU( uf lb. operolions OAt! ..... perFormed by or on <br />belwf of1he Il3IlItd insured, stith il\SUl'ance as i; afford.d by this Dollev is <br />~ and il not additional \Q orcoll1ributir,g .,ill; any utIler illS\lflll~ carried <br />by Or for the be.'le!il of the .dditknal .UIlrc.::., <br /> <br />3, Thi. ilUll:"2llCe applies sepll1'atcly ~o each insurcC against whom claim is made or <br />anit is brou~t .accpl with I'l:>jleCi with respett to the company's limits of <br />liability. The inclusion of NlY per... or or/;aIlil...~ion Os lU\ !usured sil.'1I1 not .rftct <br />D.I1y liihl which such pecoon or OTI/.1ll;20lion wocld hove ~. n cloim.n: it 1I0! '0 <br />Included. <br /> <br />,. With tespecll(l1he ndditioual in,urod.ll1i, ;'l5urcd thi, i".unIllC" .hall nol be <br />canc.ued or matetially reduced in 'a'~raBe or lill'lit.~ oxeept Aft.. thin). (JO)days <br />""';lten natic. has b= tivon 10 lh. C1)' (If Santa Ann, 20 Civic C<nler PlalA. <br />SlllllS Ana, Cllilurnia 927')1. <br /> <br />(Complelion oflbc fallowing, ineludlng ~l!nl."igl"tu...., .. required '0 mllk. .r,;, <br />cndol.'Cmclll effective.) <br /> <br />l!rrocUve JanualT.14.Z0r0 Ihis CTldor..meni form as . pm or <br /> <br />Policy N \,CGP00086' <br /> <br />I..ued In !,A eRA M"Jti.rE"iA"~CE COM~'Y <br />N.rntd.l.JUTttI <br /> <br />Cnll"it:ni(tht'd by <br /> <br />__, l.t~... ,,1:'< ;-n 1 <br /> <br />~~' <br /> <br />Depllty Cd) 'A torney <br /> <br />I" .'ORM <br /> <br /> 1 lhq 11 "61 'OT EO l>i< UHr <br />(;.d <br /> 1~"1l1 dsv:,n EO 91 ...ell:! <br />c'd <br />