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<br />r' <br /> <br />r <br /> <br />- <br />.~ <br />-- <br />=== <br />-- <br /> <br />- <br /> <br />- <br /> <br />- <br />- <br />;;;;;;;;;;;; <br />" <br />=== <br />,,- <br /> <br />- <br /> <br />. <br /> <br />== <br />. <br />- <br />~ <br />;;;;;;;;;;;; <br />,,- <br />!i55 <br />,.. <br />~, ===== <br />,- <br />......... <br /> <br />- <br /> <br />'C <br />~~ <br /> <br />~ <br /> <br />t""" <br /> <br />~ <br />CL..,MERCIAL GENERAL LIABILITY <br />ISSUE DATE: 02-02-07 <br /> <br />POLICY NUMBER: X-660-830X4850-TIL-07 <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. <br /> <br />CHARITY FIRST-AMENDMENT OF COVERAGE- <br />WHO IS AN INSURED <br /> <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL L1ABIUTY COVERAGE PART <br /> <br />SCHEDULE <br />Name Of Person Or Organization (Additional Insured): <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25, ATTN: FRANK HERNANDEZ <br /> <br />20 CIVIC CENTER DRVIE <br /> <br />SANTA ANA CA 92701 <br />Designation Of Premises (Part Leased to You) <br /> <br />WHO IS AN INSURED (Section If) Is amended to <br />Include as an Insured: <br /> <br />A. Your members and volunteers but only with <br />respect to their f1abBIty for your activities or ac- <br />tivities they perform on your behalf; <br /> <br />B. Your trustees or members of the board of gover- <br />nors while acting within the scope of their duties <br />as such on your behalf; and <br /> <br />C. Person(s) or organlzatlon(s), whether or not <br />shown In the Schedule above, but only with <br />respect to their lIabUlty arising out of: <br /> <br />1. Their financial control over you; <br /> <br />2. Their requirements for cenaln performance <br />placed upon you, as a non-profit organlza. <br /> <br />tlon, In consideration for funding or financial <br />contributions you receive from them; <br /> <br />3. The ownership, maintenance or use of that <br />part of a premises leased to you; or <br /> <br />4. "Your work" for that Insured by or for you. <br /> <br />As respects Part C.3. above, this Insurance does <br />not apply to: <br /> <br />(8) Structural alterations. new construction <br />or demolition operations performed by <br />or on behalf of the person(s) or organlza- <br />tlon(s); or <br /> <br />(b) Any "occurrence" which takes place after <br />you cease to be a tenant In that <br />premises. <br /> <br />APPROVED .. c' <br />A~ TO FORM <br />L.~lr ;---_ <br />.... :;ceuv <br />ASSlstant .":t - A - <br />'-', Y Horney <br /> <br />GN 01 88 01 96 <br /> <br />Copyright. Travelers Indemnity Company. <br /> <br />Page 1 of 1 <br /> <br />011100 <br />