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THESE POLICY <br />tBLE RATES ARE <br />EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK <br />INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND <br />RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK <br />INSURANCE LAW AND REGULATIONS. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />Named Insured <br />Endorsement Number <br />Comcast Corporation <br />Polloy Symbol Pasoy Number <br />Polleyy Period <br />EHeadva Deta of Endorsoment. <br />XSL (i724$ge22 <br />12/01/2021 to 12/01/2022 <br />12/01/2021 <br />sauad ay (Naoleoflnaurenoa�0ompany)' `"- - -'"" <br />ACE American insurance company <br />Insaft The polloy number. Theranlmndorarme anormaum Is to os eemplamu any wmm ma enoorsamom Is rsauee auosaquom or me preparation or no punuy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />EXCESS COMMERCIAL GENERAL LIABILITY POLICY <br />SCHEDULE <br />Name of Person or Organization: City of Santa Ana, Officers, officials, agents, <br />employees, and volunteers <br />A. Section 11—Who Is An Insured is amended to include as an additional Insured the person(s) or <br />organization(s) shown In the Schedule, but only with respect to liability for "bodily Injury", "property <br />damage" or "personal and advertising. Injury" caused, In whole or In part, by your acts or omissions or the <br />acts•or omissions -of those.aoting-on your -behalf:-- — -- <br />1, In the performance of your ongoing operations; or <br />2. In connection with your premises owned by or rented to you. <br />However: <br />1. The insurance afforded to such additional insured only applies to the extent permitted by law; and <br />2. If coverage provided to the additional Insured is required by a contractor agreement, the Insurance <br />afforded to such additional Insured will not be broader than that which you are required by the <br />contractor agreement to provide for such additional Insured. <br />B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — <br />Limits Of Insurance And Retained Limit: <br />XS-6W25b (04113) Includes copyrighted material of Insurance Services Office, Inc., with Its permission. , Rl�d�o agann3Dbi" <br />Class Code: 244057 �" rtI3A 1E APPROVED Or <br />Twy J <br />l Rbk Management Analyst <br />a <br />