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POLICY NUMBER: FWC0000031478200 <br />COMMERCIAL GENERAL LIABILITY <br />CG 2011 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR <br />LESSORS OF PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />1`3M:L51111>FO <br />Designation Of Premises (Part Leased To You): <br />Name Of Person(s) Or Organization(s) (Additional Insured): <br />City Of Santa Ana, Its Officers, Agents, And Employees <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Additional Premium: $ <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 the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability arising out of the <br />ownership, maintenance or use of that part of the <br />premises leased to you and shown in the <br />Schedule and subject to the following additional <br />exclusions: <br />This insurance does not apply to: <br />1. Any 'occurrence" which takes place after you <br />cease to be a tenant in that premises. <br />2. Structural alterations, new construction or <br />demolition operations performed by or on <br />behalf of the person(s) or organization(s) <br />shown in the Schedule. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />2. If coverage provided to the additional insured <br />is required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section Ill — 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 />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable Limits of Insurance shown in the <br />Declarations. <br />RxNeP <br />REVIEWED &APPRovmBr. <br />r <br />Risk Management Supervisor <br />CIS 20 11 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 <br />