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Date: 11128/2007 02:26 PM Sender's Fax "D: <br />Policy Number: PHPK248830 COMMERCIAL GENERAL LIABILITY' <br />Named Insured:Teen Challenge of So. Ca. Inc. 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 />Insured Person(s) or <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as Additional Insured <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations- <br />Section <br />eclarations <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injuy, "property <br />damage" or "personal and advertising injury" caused, <br />in whole or in part, by your acts or omissions or the <br />ads or omissions 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 Copyright ISO Properties, Inc. 2004 Page 1 of 1 <br />