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Date: 3/27/2008 <br />Time: 11:02 AM To: DonnaSchultze @ 91714-571-4235 <br />Page: 001-001 <br />POLICY NUMBER: 8502AH054504 COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />' Name Of Additional Insured Person(s) Or Organization(s) <br />~! City of Santa Ana, its officers, agents, employees and volunteers as additional insureds. <br />20 Civic Center Plaza <br />i Santa Ana, CA 92701 <br />This endorsement is issued on behalf of USNBF. <br />The insurance is primary and noncontributing to any other insurance held by the <br />additional insureds. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. ~ <br />Section 11 -Who Is An Insured is amended to include <br />as an additional insured the person(s) or organization{s) <br />shown in the Schedule, but. only with respect <br />to liability for "bodily injury", "property damage" or <br />"personal and advertising injury" caused, in whole or <br />in part, by your acts or omissions or the acts or omissions <br />of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 <br />i <br />,~7,? <br />