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Forming a part or <br />Policy Number: CBP 9572743 <br />Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION <br />Named Insured: Agent: <br />MASTER LANDSCAPE & MAINTENANCE ELMCO INSURANCE <br />INC <br />Agent Code: 4294058 Agent Phone: (714)-973-1436 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />AMENDMENT OF OTHER INSURANCE CONDITION - DESIGNATED <br />PERSONS OR ORGANIZATIONS <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />With respect to coverage afforded by this endorsement, the provisions of the p Ilcy pply unless modified by the <br />endorsement. <br />A. The following Is added to provision a. Primary Insura CO f para h 4 Oth r Ins rance under SECTION IV— <br />COMMERCIAL GENERAL LIABILITY CONDITI • N /\ <br />However, when the person or organizatios ko w ilk i e S h ule f1lilendgr ant has been added as an <br />additional Insured to this Coverage Part by at ch an f a e r nt, Nj w not seek contribution from <br />the *person's or organization's own i lira ce" to ide the <br />(1) You and such p �en r or • an a ion av ag a \cN ritten contract that this Insurance is primary and <br />non- contribLutgry; pa a \ 1 <br />(2) The "bodily In] <br />rs, or the "personal and advertising Injury" is committed, <br />subsequ to thxe` utlon of sucontract. <br />B. For the purpo e o yhi en ;rse�pt the following Is added to SECTION V — DEFINITIONS: <br />"Person's r oi aniz to own Insurance" means other Insurance: <br />a. That cc a ss ii tlity for damages arising out of the premises, ongoing operations, products or completed <br />operations described In the Schedule of this endorsement; and <br />b. For which the person or organization shown in the Schedule of this endorsement is designated as a <br />Named Insured. <br />SCHEDULE <br />Name and Address of Person Or Organization: <br />CITY OF SANTA ANA, PCRS <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />Description of: <br />Premises: <br />SANTA ANA PARK DISTRICT 4 <br />Includes copyrighted material of Insurance Services Office, Inc., with Its permission. <br />22123 (01107) <br />INSURED COPY <br />04!0212009 9572743 NE1,1SMIN607 PODM0801) J10981 aCAFPPN oo000it5 Page 9 <br />