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<br />- <br />.- <br />- <br />. <br />"""'" <br />........ <br />;,;;;;; <br />--= <br />-- <br />0- <br />c= <br />= <br />c:== <br />5lE <br />~...... <br />= <br /> <br />- <br /> <br />- <br /> <br />- <br />-- <br />- <br />~ <br />- <br /> <br />-- <br />5lE <br />- <br />- <br />= <br />'. <br /> <br />POLICY NUMBER: X-660-818X4872-TIL-Q3__- <br /> <br />COM..._nCIAL GENERAL LIABILITY <br />ISSUE DATE:. 12/14/03 <br />_..-- - <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />CHARITY FIRST -AMENDMENT OF COVERAGE- <br />WHO IS AN INSURED <br /> <br />This endorsement modffles insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name Of Person Or Organization (Additional Insured): <br />THE CITY OF SANTA ANA, ITS OFFICERS\ EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES <br /> <br />Designation Of Premises (Part Leased to You) <br /> <br />WHO IS AN INSURED (Section II) Is amended to <br />Include as an Insured: <br /> <br />A. Your members and volunteers but only w~h <br />respect to their lIabll~y for your activ~les or ac' <br />tiv~ies they perform on your behalf; <br /> <br />B. Your trustees or members of the board of gover- <br />nors while acting w~hln the scope of their duties <br />as such on your behalf; and <br /> <br />C. Person(s) or organizatlon(s), whether or not <br />shown In the Schedule above, but only w~h <br />respect to their liability arising out of: <br /> <br />1. Their financial control over you; <br /> <br />2. Their requirements for certain performance <br />placed upon you, as a non-prof~ organlza- <br /> <br />tic n, In consideration for funding or financial <br />cc ntrlbutlons you receive from them; <br /> <br />3. TI e ownership, maintenance or use of that <br />pHt of a premises leased to you; or <br /> <br />4. "Y Jur work" for that insured by or for you. <br /> <br />As res pects Part C.3. above, this Insurance does <br />not a~ ply to: <br /> <br />(;5 I Structural alterations, new construction <br />or demol~lon operations performed by <br />or on behalf of the person(s) or organlza- <br />!Ion(s); or <br /> <br />(1:11 Any "occurrence" which takes place after <br />you cease to be a tenant In that <br />premises. <br /> <br />~) <br /> <br />(I/e; <br />. I '_~ <br /> <br />GN 01 88 01 96 <br /> <br />Copyright, Travelers Indemnity Cc mpany. <br /> <br />Page 1 of 1 <br /> <br />00558011 <br />