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POLICY NUMBER: PHPK2624672 COMMERCIAL GENERAL LIABILITY <br /> CG 20 13 04 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - STATE <br /> OR GOVERNMENTAL AGENCY OR SUBDIVISION <br /> OR POLITICAL SUBDIVISION - PERMITS <br /> OR AUTHORIZATIONS RELATING TO PREMISES <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, its officers, <br /> employees, agents, volunteers <br /> and representatives <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 However: <br /> include as an additional insured any state or 1. The insurance afforded to such additional <br /> governmental agency or subdivision or political insured only applies to the extent permitted by <br /> subdivision shown in the Schedule, subject to the law; and <br /> following additional provision: <br /> 2. If coverage provided to the additional insured is <br /> This insurance applies only with respect to the required by a contract or agreement, the <br /> following hazards for which the state or insurance afforded to such additional insured <br /> governmental agency or subdivision or political will not be broader than that which you are <br /> subdivision has issued a permit or authorization in required by the contract or agreement to <br /> connection with premises you own, rent or control provide for such additional insured. <br /> and to which this insurance applies: <br /> B. With respect to the insurance afforded to these <br /> 1. The existence, maintenance, repair, additional insureds, the following is added to <br /> construction, erection or removal of advertising Section III—Limits Of Insurance: <br /> signs, awnings, canopies, cellar entrances, <br /> coal holes, driveways, manholes, marquees, If coverage provided to the additional insured is <br /> hoist away openings, sidewalk vaults, street required by a contract or agreement, the most we <br /> banners or decorations and similar exposures; will pay on behalf of the additional insured is the <br /> or amount of insurance: <br /> 2. The construction, erection or removal of 1. Required by the contract or agreement; or <br /> elevators; or 2. Available under the applicable Limits of <br /> 3. The ownership, maintenance or use of any Insurance shown in the Declarations; <br /> elevators covered by this insurance. whichever is less. <br /> This endorsement sh\ -______ .�- <br /> .11 <br /> applicable Limits of Ir Risk nansgernaaDivision <br /> e <br /> Declarations. 1 R� D&APPROVED By: <br /> �tt� �a J A A <br /> aordo <br /> :1231163212, <br /> Risk Management Specialist <br /> CG 20 13 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 <br />