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Exhibit C <br />Sample Additional Insured Endorsement <br />ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company <br />This endorsement modifies such insurance as is afforded by the provisions of Policy # <br />relating to the following: <br />1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />employees, agents, volunteers and representatives are named as additional insureds ( "additional <br />insureds ") with regard to liability and defense of suits arising from the operations and uses performed <br />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 behalf <br />of the named insured, such insurance as is afforded by this policy is primary and is not additional to or <br />contributing with any other insurance carried by or for the benefit of the additional insureds. <br />3. This insurance applies separately to each insured against whom claim is made or suit is <br />brought except with respect to the company's limits of liability. The inclusion of any person or <br />organization as an insured shall not affect any right which such person or organization would have as a <br />claimant if not so included. <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 given to the <br />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 effective.) <br />Effective <br />Policy # _ <br />Issued to <br />this endorsement form as a part of <br />Named Insured <br />Countersigned by <br />Authorized Representative <br />