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AM <br />HISCOX <br />Policy Number: <br />Named Insured: <br />Endorsement Number: <br />Endorsement Effective: <br />UDC-2086768-CGL-18 <br />LKI-C Consulting <br />24 <br />February 13, 2010 <br />Hiscox Insurance Company Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Ilnsured <br />ty of Santa Ana, Its officers <br />) Civic Center Plaza (M-30) <br />O. Box 1988 <br />anta Ana,CA 92702-1988 <br />SCHEDULE <br />employees, agents, and representatives <br />I Intormation required to complete this Schedule, if not shown above will be shown in the Declarations, <br />Section II -- Who Is An Insured is amended to in- <br />clude as an additional insured the person(s) or organi- <br />zation(s) shown in the Schedule, but only with respect <br />to liability for "bodily injury", "property damage" or <br />"personal and advertising injury" caused, in whole or <br />in part, by your acts or omissions or the acts or omis- <br />sions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 © ISO Properties, Inc,, 2004 Page 1 of 1 <br />