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POLICY NUMBER: BCS0039369 COMMERCIAL GENERAL LIABILITY <br />CG 20 12 12 19 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION - PERMITS OR AUTHORIZATIONS <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <br />CITY OF SANTA ANA, RISK MANAGEMENT, ITS OFFICERS, EMPLOYEES, AGENTS, <br />REPRESENTATIVES, AND VOLUNTEERS <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 <br />include as an additional Insured any state or <br />governmental agency or subdivision or political <br />subdivision shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to <br />operations performed by you or on your behalf <br />for which the state or governmental agency or <br />subdivision or political subdivision has issued a <br />permit or authorization. <br />However. <br />a. The insurance afforded to such additional <br />Insured only applies to the extent permitted <br />by law; and <br />b. If coverage provided to the additional <br />insured is required by a contract or <br />agreement, the insurance afforded to such <br />additional insured will not be broader than <br />that which you are required by the contract <br />or agreement to provide for such additional <br />insured. <br />Page 8 of 11 <br />2. This insurance does not apply to: <br />a. "Bodily injury", "property damage" or <br />"personal and advertising Injury" arising out <br />of operations performed for the federal <br />government, state or municipality, or <br />b. "Bodily injury" or "property damage" <br />included within the "products -completed <br />operations hazard". <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable limits of <br />insuranoe; <br />whichever Is less. <br />This endorsement shall not Increase the <br />applicable limits of insurance. <br />® Insurance Services Office, Inc., 2018 <br />IIt9" co" <br />RAMroWwdDW [cm <br />REVIEWED&APPRW BY: <br />Alu"4da <br />�' Ruk Management Spenallst <br />