Laserfiche WebLink
0 • <br />ISOI Commercial General Liability Forms 1 07/01/04 <br />POLICY NUMBER: <br />COMMERCIAL GENERAL <br />LIABILITY <br />CG 20 26 07 04 <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 />10 UUN TS9309 <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />MBIA INC., MBIA MUNISERVICES COMPANY <br />SCHEDULE <br />CITY OF SANTA ANA;ATTN: CHRISTINE CALDERON <br />THE CITY OF SANTA ANA, IT'S OFFICERS, AGENTS, SERVANTS AND EMPLOYEES ARE NAMED AS <br />ADDITIONAL INSURED'S WITH RESPECT TO THE OPERATIONS AND WORK PERFORMED BY THE <br />NAMED INSURED AS REQUIRED BY CONTRACT. THIS MAILING WILL BE RECOGNIZED AS <br />ACCEPTABLE NOTICE. <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 include as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability for "bodily injury". "property damage" or personal and <br />advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting <br />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 <br />© ISO Properties, Inc., 2004 <br />©ISO Properties, Inc. <br />©2004 Insurance Reference Systems, Inc. All Rights Reserved. <br />APPROVEll AS TO FORT" <br />�Lauta Sti Sheedy <br />Assistant City Attorn::' <br />