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� - �_� 10 - 6��- <br />��mort , L- Gu�.�� <br />POLICY NUMBER: 3602HF332910 -1 COMMERCIAL GENERAL LIABILITY <br />CG 20 26 0704 <br />THIS ENDORSEMENT CHANGES THE POLICY. <br />PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />City of Santa Ana Recreation Supervisor <br />1825 W. Civic Center Drive <br />Santa Ana, CA 92703 <br />The City of Santa Ana Recreation Supervisor, its officials, officers, directors, employees, agents <br />and volunteers as additional insureds against liability for injury to persons, damage to property, <br />and for the death of a person or persons arising or resulting from any act or omission on the part <br />of your organization, its agents or employees. <br />This policy shall be considered primary insurance as repect to the City of Santa Ana Recreation <br />Supercisor, elected or appointed officers, officials, employees, agents and volunteers. Any <br />insurance maintained by the City, including any self- insured retention the City may have, shall <br />be considered excess insurance only and shall not contribute with it. <br />Insured Name: Laura Simon. <br />Section II —Who Is An Insured is amended to include as an additional insured the persons) or <br />organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property <br />damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or <br />the 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 rented to you. <br />CG 20 26 07 04 ISO Pro r� ie ,Inc., 2004 Page 1 of 1 <br />APPROVED AS TO ��KNI <br />.7�2- <br />JOSEPH W. FLETCHER <br />CITY ATTORNEY <br />