Laserfiche WebLink
<br />._:?7 22: 21 <br /> <br />71'!8952080 <br /> <br />STATE FARM INSURANCE <br /> <br />PAGE 02/02 <br /> <br />MWlTJONAL ~T.lIE~ <br />EOR COMl\1ERQAL GENERAL LIABILITY l"OLU...'Y <br /> <br />Iw:u.rance CompllnY S:rA~ HtJI?.N[ <br /> <br />This JiI1dQlUl!lmt modifiea such insurance as is afforded by tIw provisions of Policy <br /># -=t;J.f.?1 c ~4/-1 relating to the following: <br /> <br />1. The City of Santa Ana, and the City of Santa Ana, located at 20 Civic <br />Center Plaza, Santa An"'" CaUfomill 92701; and their respective officen,. employees, <br />agents, volWlteers and representatives are named as additional insured$ ("additiO'nal <br />:'"?lNtlS') witb regard to liability and defen!lc ohuits arising frolll tire operations and <br />1:'SCS perfomed by O'r on behalf of the named insured. <br /> <br />:I.. With rospcct to c1eima 8lising out of the Opel":W.ons and uses performed by <br />or on behalf of the named insured, such insurance as is afforded by this policy is primal': r <br />IIld is not additional to or contributing with any other ins=e carried by or for the <br />l;1encfit of the lIfJditil1nal insw:eds. <br /> <br />S. This ins\ItiIDCC applies seplll:81ely to each insured llg3inst whom clJlim is <br />made or suit is brough.t except with respect tll the company's limits of liability. The <br />inclusion of any person or wganization as an insured shall not affect any right which SUllh <br />person or organization would have as a claimant if not so included. <br /> <br />4. With respcct to the additional insureds, this insurance $hall nat be <br />cancelled, or materially reduced in covet1lge ar limits except aftel" thirty (30) days writk n <br />notice baR bOOl.'l given to the Cornmtmity Redevelopment Agency of the City of SantB <br />A.M, 20 Civic Centel" PIl\2:l\ (M-25), Sll1lta Ana, California 92701. <br /> <br />" Cornpl,:tlon of the fa \lowing. including eountersigna1Ure, is required to make this <br />';~.dcneO:.e:nt effective.) <br /> <br />Bfre."ti.\'ll /-1 ~ 07 <br />Policy # :9 ~ (Yf os.-o I -I <br />TsS'Ulxi to A-j~ ~o C1 JJ G- <br /> <br />. thi. endorsement form llJl a pm of <br /> <br />(ClJ"L:sr PAl.j)CIf"J <br />Nam <br /> <br /> <br />Countersign <br /> <br />s' :;9"c:I <br /> <br />.,.' JOl1lrl1 'I' U~Wllcr'nl.:il.ll iU~CI; ^gem:y-rm.... ...-- <br />Stat., Farm Insuranc~ Co's <br />12752 Valley View 51. Ste. T <br />Garden Gro,'e,e.. 92845 <br />(714) 895-7882 (800) 863-1122 <br /> <br />5m;PUgIotL <br /> <br />~g:Pt ,~0~/9~/80 <br /> <br />