Laserfiche WebLink
ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company Great American Insurance Co. <br />This endorsement modifies such insurance as is afforded by the provisions of Policy <br /># PAC5603738 relating to the following: <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 performed by or on behalf of the named insured. <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 of the <br />additional insureds. <br />3. This insurance applies: separately to each insured against :whom claim is made, or <br />suit is brought except with:respectltothe: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 />4. With:respect to -the .additional insuredsthis insurance shall not he 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 />(Completion of the following, including countersignature, is required to make this endorsement <br />effective.) <br />Effective 2/10/2012 this endorsement form as a part of <br />Policy # PAQ,980738 <br />Issued to Thomas House Temnorary Shelter <br />Named Insured <br />Countersigned by <br />�� � <br />uth orized Representati <br />vovmi <br />RGV£D A5 So tip-/ <br />AYY K <br />G <br />� -�pR rn <br />LISP t ,Sko 0 <br />�S�stant G y U/ <br />