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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY NUMBER: 607113383 J723 1 <br /> 1 st Edition <br /> FARMERS <br /> INSURANCE <br /> ADDITIONAL INSURED-MANAGERS OR LESSORS <br /> OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESSOWNERS LIABILITY COVERAGE FORM <br /> BUSINESSOWNERS COVERAGE FORM <br /> APARTMENTOWNERS LIABILITY COVERAGE FORM <br /> CONDOMINIUM LIABILITY COVERAGE FORM <br /> SCHEDULE <br /> Designation Of Premises(Part Leased To You): <br /> 1381 VALENCIA AVE, TUSTIN, CA 92780 <br /> Name Of Person(s)Or Organization(s)(Additional Insured): <br /> City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers <br /> Additional Premium: $ <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> A. The following is added to Paragraph C.Who Is An Insured ofthe applicable Coverage Form: <br /> The person(s)or organization(s)shown in the Schedule is also an additional insured,but only with respect to liability <br /> caused, in whole or in part, by the ownership, maintenance or use of that part of the premises leased to you and <br /> shown in the Schedule. <br /> However: <br /> a. The insurance afforded to such additional insured only applies to the extent permitted bylaw;and <br /> b. If coverage provided to the additional insured is required by contractor agreement,the insurance afforded to <br /> such additional insured will not be broader than that which you are required by the contract or agreement to <br /> provide forsuch additional insured. <br /> B. With respectto the insurance afforded to these additional insureds the following additional exclusions apply: <br /> This insurance does not apply to: <br /> 1. Any"occurrence"that takes place after you cease to be a tenant in the premises described in the Schedule. <br /> 2. Structural alterations, new construction or demolition operations performed by or for the person(s) or <br /> organization(s)designated in the Schedule. <br /> C. With respect to the insurance afforded to these additional insureds,the following is added to Paragraph D.Liability And <br /> Medical Expenses Limits Of Insurance of the applicable Coverage Form: <br /> If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of <br /> the additional insured is the amount of insurance: <br /> 1. Required by the contractor agreement;or <br /> 2. Available under the applicable Limits Of Insurance shown in the Declarations; <br /> whichever is less. <br /> This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. <br /> This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the <br /> terms of the policy. <br /> J 7231-ED 1 02-19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1 <br /> 927231 J7231101 <br />