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111t,01 <br />H ISCOX <br />Policy Number: <br />Named Insured: <br />Endorsement Number: <br />Endorsement Effective: <br />P100.325.866.2 <br />KFB Management Inc. <br />25 <br />06/11/2022 <br />Hiscox Insurance Company Inc. <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 Persons Or Organization(s) <br />The City of Santa Ana <br />in the Declarations. <br />Section II — Who Is An Insured is amended to in- <br />clude as an additional insured the person(s) or organi- <br />zation(s) shown in the Schedule, but only with respect <br />to liability for "bodily injury", "property damage" or <br />"personal and advertising injury" caused, in whole or <br />in part, by your acts or omissions or the acts or omis- <br />sions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />a„ )tf-k gnrw4OM*dM <br />.a S Arra Rr. <br />f+iec hf3n"9cnrnt CI¢MplPodn <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 <br />