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02102/2[J37 1[:32 909-572352 KEEFE CA PAGE 03 <br />FEB -01 -OT 13:41 FRDM- <br />A DDI 70NAL INSURED ENDORSEMENT <br />T-206 P.O03/008 F-627 <br />Insurance Cnmpaxy Great Forthern Insurance (Chubb) <br />Thi, eu orsew t n od $es such in.%=nae, as is s$orded by*provisions of Policy <br />it 73210090mlaui13to tae fallavkng: <br />1. Tac '-i-y of Santa Asan, 20 Civic Centro Plaza, 9mm Ana, Califamia 29701;'its <br />offic as, employees, agents and apresentatives are named as additional insuuad <br />l" adc itional irsared") with regard to hability and defense of snits zzising from the <br />opertiors end uses pe>fnrmcd by or on beBalfof the ❑ med insured.. <br />2. Witb reseeetto clasusrising a= of the operaiiens and 7=13 peatr=d by er ost <br />beh if of the named imsurad, such insurance as is afforded by this policy is <br />prm rry and is not additional to or coonbutdng with eny other issuance carried <br />by oY for Ae benefit of the additional tnsiscds. <br />3. This ;rsmsnce applies separately to each ix=zd agaiam whota C� Him is made or <br />suit i.1 broughr except with respect tole cempMry S limits of liability. The <br />incn;i® of any person or orgpamizEon as m insured shalt 2101 Cffbal any tight <br />wtic'i such person m organization as an iasured would Lava as a clamant if not <br />son :luded <br />4. With r.spact to the additional insureds, tail insuranee sball Mn' be caoaelled, or <br />matc:ially reduced in rOV=ge or limits except a$crthirty 30) days wzinen notice <br />hs b:m;!VM TO the City of Santa Ana., 20 Cialo Center Plana, Sams Aos, <br />Calif irua 92701. <br />(Cuuaplefion of the following, inoluding countsreignoure� Is required to make <br />t�v endorsement effective.) <br />P.fiective Jams try 1, 2007 , , this endorsement form As part of <br />POliey# 73210730 <br />L551,0d to Ce:itr.s Groua LLC <br />Famed tasnred �1 <br />Countersigned by 2 r` <br />