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4M <br /> HI SCOX Hiscox Insurance Company Inc. <br /> Policy Number: P100.077.964.8 <br /> Named Insured: MICHAEL RANESES <br /> Endorsement Number: 21 <br /> Endorsement Effective: 02/01/2025 <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 Persons Or Organization(s) <br /> The City of Santa Ana, its officers, officials, employees, and volunteers <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 in- <br /> clude as an additional insured the person(s) or organi- <br /> zations) shown in the Schedule, but only with respect <br /> to liability for "bodily injury", "property damage" or <br /> "personal and advertising injury" caused, in whole or <br /> in part, by your acts or omissions or the acts or omis- <br /> sions 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 <br />