JENNIFER BACKHAUS DBA BACKHAUS DANCE

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