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EXHIBIT ®: Certificate of Insurance and <br />Additional Insured Endorsement <br />ADDITIONAL_ INSURED ENDORSEMENT <br />Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of <br />Policy # relating to the following; <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; <br />it's officers, employees, agents and representatives are named as additional <br />insureds ("additional insureds") with regard to liability and defense of suits <br />arising from the operations and uses performed by or on behalf of the named <br />insured. <br />2. With respect to claims arising out of the operations and uses performed by or <br />on behalf of the named insured, such insurance as is afforded by this policy, <br />is primary and is not additional to or contributing with any other insurance <br />car-ried by or for the benefit of the additional insureds. <br />3. This insurance applies separately to each Insured against whom claim is <br />made or suit is brought except with respect to the company's limits of liability. <br />The inclusion of any person or organization as an insured shall not affect any <br />right which such person or organization would have as a claimant if not so <br />included. <br />4. With respect to the additional insured, this insurance shall not be cancelled. <br />or materially reduced in coverage or limits except after thirty (30) clays written <br />notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa <br />Ana, California, 92702. <br />(Completion of the following, including countersignature, is required to make this <br />endorsement effective.) <br />Effective <br />Policy # <br />ssues to: <br />Countersigned by <br />Named Insured <br />This endorsement form as a part of <br />Exhibit O: 1 of 1 <br />