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r: <br />I <br />EFFECTIVE DATE: 12:01 AM Standard Time, BUSINESSOWNERS <br />(at your principal place of business) PB 60 04 (01 -o1) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - SERVICES PERFORMED ON PREMISES OF <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name of Person or Organization: <br />CITY OF SANTA ANA ATTN: CONNIE GEE PO BOX 1988 SANTA ANA CA <br />92702 <br />A. The following is added to Section II, WHO IS AN <br />INSURED: <br />The person or organization designated in the <br />Schedule of this endorsement is also an in- <br />sured, but only with respect to their liability for <br />"bodily injury" or "property damage" arising out <br />of acts or services normal and, usual to your <br />business described in the Declarations, per- <br />formed by you or on your behalf for the person <br />or organization designated in the Schedule of <br />this endorsement on premises owned, leased, <br />maintained or used by such person or organ- <br />ization. <br />B. ADDITIONAL EXCLUSION <br />This insurance, including our duty to defend <br />"suits ", does not apply to "bodily injury", "prop- <br />erty damage" or "personal and advertising in- <br />jury" arising out of any active negligence of the <br />person or organization designated in the <br />Schedule of this endorsement. All terms and <br />conditions of this policy apply unless modified <br />by this endorsement. <br />All terms and conditions of this policy apply unless modified by this endorsement. <br />PB 60 04 (01 -01) <br />?_A <br />ACP BPO 7811162395 AGENT COPY 78 28756 <br />