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POLICY #103 GL 0021111 <br />COMMERCIAL GENERAL LIABILITY <br />T5409-0118 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR 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 />Section H - Who Is An Insured is amended to include as <br />additional insured the person(s) or organization(s) shown <br />in the Schedule, but only with respect to liability for <br />"bodily injury", "property damage" or "personal and <br />advertising injury" caused, in whole or in part, by your <br />acts or omissions or the acts or omissions of those acting <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 />T5409-01 I8 © ISO Properties, Inc., 2004 <br />„fcec, <br />BEviawaR1ekMwuAPPRttgemaWDMtlan <br />D & ®BV: <br />ooi+'n <br />® <br />Risk Management Specizlist <br />Page 1 of 1 <br />