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Ub/ 2'J1 21111 lb: bb 9491091666 <br />POLICY NUMBER: 2012-27514-DO <br />COMMERCIAL GENERAL LIABILITY <br />CG 20260704 <br />THIS ENDORSEMENT CHANGES THE POWCY. PLEASE READ IT <br />CAREFULLY. <br />ADDITIONAL INSURED .DE rGNATED <br />PERSON OR ORGANIZATION <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 />THE CITY OF SANTA ANA, ITS OFFICEnS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES <br />An person organization that ou are re uired to add as an <br />additional insured on this pa,_ liGV, under a written contract or agreement <br />currently in effect, or becoming effective during the term of this policy. The additional <br />insured status will not be afforded with respect to liability arising out of or related to <br />your activities as a real estate manager for that person or organization. <br />WfQtMation it d to cOM1219kt hi hedule if no s o bove will shown in the thn Decigrations. <br />Section 11 _Who Is An Insured is amended to include as an additional insured the <br />person(s) or organization(s) shown in the Schedule, but only with respect to liability for <br />"bodily injury, "property damage" or "personal and advertising injury" caused, in whole or <br />in part, by your acts or omissions or the acts or omissions 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 rented to you. <br />AS TO Fpt?JS <br />APPROVED <br />LISA E STORCK <br />city AttorneY <br />Assistant <br />CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 9 <br />cis PAGE 06/07