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POLICY NUMBER: 3602HF332910 -0 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 />Name of Additional Insured Person(s) Or Organization(s): <br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Califomia 92701 <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, <br />agents and volunteers are named as additional insureds ( "additional insureds ") with regard to liability and <br />defense of suits arising from the operations and uses performed by or on behalf of the named insured. <br />With respect to claims arising out of the operations and uses performed by or on behalf of the named <br />insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with <br />any other insurance carried by or for the benefit of the additional insureds. <br />Insured Name: Laura Simon <br />Information required to compete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) 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 />A3N8011V A11` <br />a3HO1313 .M Hd3SOf <br />IN80.3 01 SV a3NO8ddV <br />CG 20 26 07 04 ISO Properties, Inc., 2004 Page 1 of 1 <br />