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POLICY #103 GL 0212472-01 <br />COMMERCIAL GENERAL LIABILITY <br />T5409-0118 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED Î DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Named of Additional Insured Person(s) or Organization(s) <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />SectionII-WhoIsAnInsured isamendedtoinclude <br />asadditionalinsuredtheperson(s)ororganization(s) <br />shownintheSchedule,butonlywithrespecttoliability <br />forÐbodilyinjuryÑ,ÐpropertydamageÑorÐpersonaland <br />advertisinginjuryÑcaused,inwholeorinpart,byyour <br />actsoromissionsortheactsoromissionsofthoseacting <br />on your behalf: <br />A.In the performance of your ongoing operations; or <br />B.In connection with your premises owned by or rented to you. <br />T5409-0118 © ISO Properties, Inc., 2004 Page 1 of 1 <br /> <br />