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POLICY NUMBER: <br />CONiiIERCIAI_ Ci11iERAL LW61L.1TY <br />CG 20 �2 0S 08 <br />THIS ENDORSEMEidT CHANGES THE POLICY. PLEASE HEAD IT 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 GENERAL LIABILITY COVERAGE PART <br />scHEOUL.E <br />S�lata Ur Govamnwnisl AHancy Or SutxSlvlslon Or Pollifaal Sulxilvlalon: <br />City of Santa Clara <br />220 South Daisy Ave <br />Santa Ana. CA 92703 <br />Secttan It — 1Vtw Is An insured L4 amended to Indude 2. Thla Insurance does not apply to: <br />as an Insured any state or governmental egent�r or Fy •BocRl p <br />subdivision or polltical �ubdfvlaion shown In the ®� dtrejrLaln 'property damage' or ersonal <br />Schedule, subJect to the ioilowing provle'ione: 9 injury' arising out of aperaUone <br />Y. Thi3 Insurance 8 performed for the federal government, state or <br />pplios only vrfU�t respect to municipality; or <br />• operr,Uons performed try you or on your behalf for b. 'Bolt <br />vAt{ch the slate or governmerrtal agency or lY InJury' or •property deunsga' Included <br />subdivision or pollUcat aubdivfelon has issued a within � the 'produd�- completed operations <br />permit or authorization, h��• <br />rrr� <br />;;; <br />__ <br />CC 20 f2 OS 09 Copyright, Insurance Servlcae Qfflce, Inc., 2008 page 1 of 7 <br />