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<br />, <br /> <br />C!1Y SA PAYROLL <br /> <br />Fax:714-547-5633 . <br /> <br />Aug 32005 11:24 <br /> <br />P.Ol <br /> <br />) <br /> <br />EXHlBrr B <br /> <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br /> <br />-=" C=p~y .~<: fir", M"LH-{ JJtSI"'''N''' Co"1''''r <br /> <br />This endorsement modifies Such insurance as is afforded by the provisions of Policy <br /># ?~ - Y Ir - 'liP!'.;/.. 6- relating to the following: <br /> <br />I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; 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 perfonned 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 insurance 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 ofthe <br />additional insureds. <br /> <br />3. This insurance applies separately to each insured 'lgainst 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 not affect any right whiCh such person or organization <br />would have as a Claimant ifnot so inclUded. <br /> <br />4. With respect to the additional insureds, this insurance 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 Oflhe fOllowing, inClUding countersignature. is required 10 make thi, endorsement <br />effective) <br /> <br />Effective Ju L <br />Policy # <br />Issued to <br /> <br /> <br />, this endorsement fonn as a part of <br /> <br />-17 ~ t~ rail t.u;u <br />Named ur.e4 <br />01 . <br /> <br />Countersigned by lJJ /' <br />~.6~ftd Representative <br /> <br />I I <br />{I <br /> <br /> <br />/I J~L1 (;4V'r <br /> <br />....E::"- II"'\,;1\. r c ut" INSUfotAN~F <br /> <br />- <br />