Laserfiche WebLink
<br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br /> <br />Insurance Company: American Unitv Graun. Ltd. <br /> <br />This endorsement modifies such insurance as is afforded by the provisions of Policy # <br /> <br />UNI-CGL-06-01-022 (1-14601-00-06) relating to the following: <br /> <br />1. The Santa Ana Empowerment Corporation and the City of Santa Ana, 20 Civic <br />Center Plaza, PO Box 1988, Santa Ana, California 92702; its officers employees, agents, <br />volunteers and representatives are named as additional insureds ("additional insureds") <br />with regard to liability and defense of suits arising from the operations and uses performed <br />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 Ihe named insured, such insurance as is afforded by this policy is primary and is <br />not additional to or contributing with any olher insLlTance carried by or for the benefit of <br />the additional insureds. <br /> <br />~. This insurance applies separately to each insured agamst whom claim is made or suit <br />'p "is broujht except with respect to the company's limits of liability. The inclusion of any <br />v\) 't> P _: or organization as an msured shall not atTect any right which such person or <br />;"\ v f\,/' ~Zatibn would have as a claimant if not so included. <br />'.U{'f5' --< s ~"U' <br />. (); . \'0'1-- ~~ v~ ' With respect to the additional insureds, this insurance shall not be cancelled, or <br />,'>>z," materially reduced in coverage or limits except after thu1y (30) days written notice has <br />" been given to the Santa Ana Empowerment Corporation, Inc., 20 Civic Center Plaza (M- <br />f) \ 21), PO Box 1988. Santa Ana, California 92702, <br />(1/\ ') <br />~. ' <br /> <br />(Completion of the following, including countersignamre. is required to make this <br />endorsement effective.) <br /> <br />Endorsement # A3 <br /> <br />Effective <br /> <br />06/30/06 to 06/30/07. this endorsement form as a part of <br /> <br />Policy # <br /> <br />UNI-CGL 06-01-022 (1-14601-00-06) <br /> <br />Issued to <br /> <br />SI Josenh Health Svstem <br />Named l!'sured <br /> <br />Cl[){O <br /> <br />Authorized Representative <br /> <br />i.:""; ~,.." <br /> <br />~..~', ' Countersigned by <br /> <br />:f::::-:;~~jf./J- ,~" <br /> <br />cze.lf}, > "'~ !>-W" <br />,~(\\ C\ "::\ <br />r:..'''' (;? 'p.f:;r) EXHIBIT H <br />