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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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, its officers, employees, agents and representatives are additional insureds <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. J <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 />This endorsement is executed by the LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />Premium $ <br />Effective Date <br />For attachment to Policy No <br />Audit Basis <br />Issued To <br />#ssued <br />Expiration Date <br />TB2-Z11-253413-132 <br />Countersigned by <br />Sales Office and No. <br />Authorized Representative <br />End. Serial No. <br />CG 20 26 07 04 9 ISO Properties, Inc., 2004 Page 1 of 1 <br />