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Data Ticket, Ina
<br />Newport Reach, CA
<br />0: 949 752.6937; F: 949 752 -6033
<br />City of Santa Ana
<br />Request for Proposals for Automated
<br />Parking Citation and Processing Services
<br />SECTION F9: EXHIBIT I — SAMPLE ADDITIONAL INSUED ENDORSEMENT FOR
<br />COMMERCIAL GENERAL LIABILTY POLICY
<br />SCI t12IT I.
<br />OrrY OP SANTA ANA
<br />REQUEST FOR PROPOSAIX FOR AUr0fdA'MI) PAS"KIKO CITA110N.,AND PROOVOWNta SIERVIOUs
<br />SAM'PLC ADDITIONAL INSURED PNOORSEMNNT
<br />FOR COMWERCIAL QVINSKAL LIABILITY POLICY
<br />Insurance Carnpatay,� Amara Inference Com enV .......� _.. ____ w_,-.._. ..,.,.._._._........u. „,,..,.,.
<br />THa arndamemeni modilloe sash Insaaranoa ea Is orfurdotl by the provialons of Molloytd ACWOP30274'2.780
<br />rafatintl to tha,foilovvirrg:
<br />1, i'ha City of Santa Ana, 20 Civic Cantor Miami, Santa Ana, California 92709: its ofsaera, emploveaa,
<br />adonta, vgdiunte.ra and fo rownwivea are named as addtticnel €naursdS ( "M01601)al IIISM ) with
<br />regard to Iletrllliyold dosrema ofaulta orlsing from ft operations and vaeaperformed by or an bahsli of
<br />the named InstoNsd .
<br />d, with raspeot to *ffms aerlsins7 out of the oparadanm and 0068 parforntOd by or on behalf of thw named
<br />lnr+urod, aiARh Insummas eu fe, artardod by brio pnlicy to prbnary and fa not additbnal to or rnntrlbutintg volt}
<br />any other 6ruumnoe oon•lod by orlor the bontAflt or the edridlonot ineuredw,
<br />3. Thla Inatuvrvr applies eeparatoly to eraoh Insured against whom otaim is naeda or Suit Is brought except
<br />v+lil9 smspeai to t @�b eornpany "o 7lmita at Ilakdl lty. Tiro hole alon orally parson or ors+entzatian ae an Insured
<br />khatl notxaffeet ally itpf4 vdtiod) such poroolr ar olganization would have es A clelmont in not en IerSudcus9.
<br />4. with respeot tithe additlonal nisurads, thla insurances shod) not ba wrloWled, or metorlalty rodueed In
<br />aavera90 of limfeexcepi After Ihhhr 00) sdrr,Srswrltlen nra0ca Ices twpn rylvtm to the City of Salto Ana,
<br />20 Olvtc Confer Plaza, Santa Ana, California MO.
<br />(Comtaletlon of the follmving, 4tctuding tXtuntoralgnettrra, Is required to mmiss We andortlemont pffealve,j
<br />X'fd47Wdva ....- 1'tf4YJ.e16 ..., ...,..,.T .,.,,�,....„.....,„, thin andurnornonlform as a part of
<br />Polley # „..,,,
<br />lesuatiio D ate' ticket, Ina, DRAi Revenue hxoedo
<br />countersi
<br />C ly et Eania Me - Autor m6d Pnrklerg CUMinn and proeasslna grvYrs�q f ?rt�'1T 1 Ip)
<br />Mnpn 33
<br />Proprleta ry
<br />and Confidential to Data Ticket, Inc.
<br />35.Page
<br />25G -59
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