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POLICY NUMBER: RGL-7242632-03 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 12 07 98 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - <br />STATE OR POLITICAL SUBDIVISIONS - PERMITS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Political Subdivision: <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Is named additional insured but only with respects to the stock photo shoot event to be held at <br />various police facilities and city locations on 01/21/2010 through term of policy <br />(If no entry appears above, information required to complete this endorsement will be shown in the Dec- <br />larations as applicable to this endorsement.) <br />Section II — Who Is An Insured is amended to <br />include as an insured any state or political sub- <br />division shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to <br />operations performed by you or on your be- <br />half for which the state or political subdivi- <br />sion has issued a permit. <br />2. This insurance does not apply to: <br />a. "Bodily injury," "property damage" or <br />"personal and advertising injury" arising <br />out of operations performed for the state <br />or municipality; or <br />b. "Bodily injury" or "property damage" <br />included within the "products -completed <br />operations hazard". <br />APPROVED AS TO feress Y dd FORM <br />Deputy City Attorney <br />CG 20 12 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 0 <br />