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POLICY NUMBER: 72 UUN TR7859 <br />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 <br />PUBLIC WORKS AGENCY, M-36 <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, CONSULTANTS, <br />SPECIAL COUNSEL & REPRESENTATIVES <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <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 injury", "property <br />damage" or "personal and advertising injury" caused, <br />in whole or in part, by your acts or omissions or the <br />acts 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 © ISO Properties, Inc., 2004 Page 1 of 1