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POLICY NUMBER: <br />CQMitERCIAL CiE1rERAL LIABILITY <br />Cg20�20809 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ !T CAREFULLY. <br />ADDITIONAL INSURED -STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION -- PERMITS OR AUTHORIZATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL DENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Sdate Or tiovammunisl Agency Or Subdivision Or Pollilcal Sufodlvlsion: <br />�, City of Santa Clara <br />220 South Daisy Ave <br />Santa Ana, CA 92703 <br />Recttun 11 — 1Nho la An insured i9 amended to Include 2. This Insurance dose not apply to: <br />as an Insured any state or governmental agency or � •Bodll P <br />subdivision or polltical subdivision sho�m !n the Y injury,' 'properly damage' or ersonal <br />Scheduler, subject to tli� iollowing provls'iona: end advertlsing injury' arising out of operations <br />� 1. Thies Insurance a lips on tNfttt res Performed }or the federst government, state or <br />PP IY pact to municlpafity; or <br />operations performed try you or on your behalf for <br />viFtich the state or governmental agency or b- •Bodily Injury' or 'property damage' InGUded <br />sutrdivlslon or political autxJNlslon has issued a '�In ,the 'products- completetl operetlons <br />p ©nett or atrthorizatlon. hazard. <br />ttr� <br />®a <br />�� <br />;3 <br />Cis 20 12 OS 09 Copyright, Insurance 3ervlcee Offices, Inc., 2008 pegs Z or 1 <br />