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Named Insured: Backhaus Dance <br />Policy Number: PHPK2177052 <br />Policy Period: 10/02/2020 - 10/02/2021 <br />PI-GL-005 (07/12) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />PRIMARY AND NON-CONTRIBUTORY INSURANCE <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Effective Date: 03/29/2021 <br />Name of Person or Organization (Additional Insured): <br />City of Santa Ana, Risk Management, its officers, employees, agents, representatives, and <br />volunteers <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />SECTION II —WHO IS AN INSURED is amended to include as an additional insured the person(s) or <br />organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," <br />"property damage" or "personal and advertising injury" arising out of or relating to your negligence in the <br />performance of "your work" for such person(s) or organization(s) that occurs on or after the effective <br />date shown in the endorsement Schedule. <br />This insurance is primary to and non-contributory with any other insurance maintained by the person or <br />organization (Additional Insured), except for loss resulting from the sole negligence of that person or <br />organization. <br />This condition applies even if other valid and collectible insurance is available to the Additional Insured <br />for a loss or "occurrence" we cover for this Additional Insured. <br />The Additional Insured's limits of insurance do not increase our limits of insurance, as described in <br />SECTION III — LIMITS OF INSURANCE. <br />All other terms, conditions, and exclusions under the policy are applicable to this endorsement and <br />remain unchanged. <br />Page 1 of 1 <br />Includes copyrighted material of Insurance Services Office, Inc., with its pei <br />�oRaN <br />} r <br />RAMwaganadDMsiun <br />REVIEWED & APPROVED BY.- <br />PZ. VSA44a <br />Risk Management Analyst <br />