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POLICY NUMBER: PHPK2457612-002 COMMERCIAL GENERAL LIABILITY <br /> CG 20 26 0413 <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 Person(s) Or Organization(s): <br /> The City of Santa Ana, its officers, officials,employees and volunteers are covered as additional insureds on the <br /> CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Permitee <br /> including materials, parts,or equipment furnished in connection with such work operations. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following is added to <br /> organization(s) shown in the Schedule, but only Section Ill—Limits Of Insurance: <br /> with respect to liability for "bodily injury", "property If coverage provided to the additional insured is <br /> damage" or "personal and advertising injury required by a contract or agreement, the most we <br /> caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the <br /> omissions or the acts or omissions of those acting amount of insurance: <br /> on your behalf: <br /> 1. Required by the contract or agreement; or <br /> 1. In the performance of your ongoing operations; <br /> or 2. Available under the applicable Limits of <br /> 2. In connection with your premises owned by or <br /> Insurance shown in the Declarations; <br /> rented to you, whichever is less. <br /> However: This endorsement shall not increase the <br /> 1. The insurance afforded to such additional applicable Limits of Insurance shown in theDeclarations. <br /> insured only applies to the extent permitted by <br /> law; and <br /> 2. If coverage provided to the additional insured is <br /> required by a contract or agreement, the <br /> insurance afforded to such additional insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to <br /> provide for such additional insured. <br /> RA Me"mmt i?iv [m <br /> 9` REVEwED&APPROVED BY: <br /> a• <br /> y NJ <br /> `� [2isk hrl�r7agement Specialist <br /> CG 20 26 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 <br />