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POLICY NUMBER: 6BRPG0000006905300 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 04 13 <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 />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s) <br />City of Santa Ana, Risk Management, its officers, employees, agents, representatives and volunteers <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />Named Insured: LaVerne Davis <br />CP# 1813 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to include as an <br />additional insured the person(s) or organization(s) shown in the <br />Schedule, but only with respect to liability for "bodily injury", <br />"property damage" or "personal and advertising injury" caused, in <br />whole or in part, by your acts or omissions or the acts or omissions <br />of those acting on your behalf: <br />1. In the performance of your ongoing operations; or <br />2. In connection with your premises owned by or rented to you. <br />However: <br />1. The insurance afforded to such additional insured only <br />applies to the extent permitted by law; and <br />2. If coverage provided to the additional insured is required by a <br />contract or agreement, the insurance afforded to such <br />additional insured will not be broader than that which you are <br />required by the contract or agreement to provide for such <br />additional insured. <br />B. With respect to the insurance afforded to these additional insureds, <br />the following is added to Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is required by a <br />contract or agreement, the most we will pay on behalf of the <br />additional insured is the amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insurance shown in <br />the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits of <br />Insurance shown in the Declarations. <br />REVIEWED & APPROVED <br />By Risk MANAgEMENT DiViSiON <br />VS ; 0 3 zo19 <br />FRANCINE R. VILLAREAL <br />CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 <br />