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SM Policy No. 92—EK—V825-4 DEVEREAUX, SARIAH GEORGI <br />THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY. <br />CMP-4786,1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS. <br />(Scheduled) <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Policy Number: 92-EK-V825-4 <br />Named Insured: <br />MENTE INC <br />12664 CHAPMAN AVE UNIT 1419 <br />GARDEN GROVE CA 92840 4034 <br />Name And Address Of Additional Insured Person Or Organlzation: <br />THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS <br />VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED WITH REGARD <br />TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 4058 <br />1. SECTION 11 — WHO :IS AN INSURED of <br />SECTION it — LIABILITY is amended to In- <br />ctuds, as an additional insured, any person or <br />orrgganization shown in the Schedule, but only <br />wlth respect to liability for "bodily Injury', <br />"property damage', or "personal and adverk s- <br />ing injury" caused, in whole or In part, by: <br />a. Ongoing Operations <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting <br />on your behalf; <br />In the performance of your on oing opera- <br />tions for that addltenel Insured; or <br />b. Products — Completed Operations <br />"Your work" performed for that additional <br />insured and included In the "products - <br />completed operations hazard". <br />However, Paragraph 1. above is subject to the <br />following: <br />a. The insurance afforded to the additional <br />insured only applies to the extent permit- <br />ted by law; <br />CMP-4788.1 <br />Page 1 of 2 <br />b. If coverage provided to the additional in- <br />sured is required by a contract or agree- <br />ment, the insurance provided to the <br />additional Insured will not be broader than <br />that which you are required by the contract <br />or agreement to provide for such addition- <br />al Insured; and <br />c. it the contract or agreement between you <br />and the additional insured Is governed lay <br />California Civil Code Section 2782 or <br />2782,05, the Insurance provided to the <br />additional insured Is the lesser of that <br />which: <br />(1) Is allowed for the satisfaction of a de- <br />fense or Indemnity obligation by Cali- <br />fornlg Civil Code Section 2782 or <br />2782.05 for your sole liability; or <br />(2) You are required by contract or <br />agreement to provide for such addi- <br />ttonallnsured. , <br />We have no duty to defend or Indemnify the <br />additional Insured under this endorsement un- <br />til a claim or "suit" is tendered to us. <br />o, copyright, State Form MUlual Automobile Insurarino Company, 2013 <br />Includes copytiglll0a national Of In9�rraNI`,pr& 8err®ces Ofrooe, Inc., with Its permisslon, <br />