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<br />POLICY NUMBER: PHPK849367 <br />COMMERCIAL GENERAL 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 />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Organization(s) <br />CITY OF SANTA ANA-CDBG M-25 <br />COMMMUNITY DEVELOPMENT AGENCY <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 in- <br />clude as an additional insured the person(s) or or- <br />ganization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury", "property dam- <br />age" or "personal and advertising injury" caused, in <br />whole or in part, by your acts or omissions or the acts <br />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 <br />rented to you. <br />CG 20 26 07 04 <br />© ISO Properties, Inc., 2004 <br />AS T0Q <br />v " SS ORGK ey <br />t'%Sar C1ty PttoCn <br />Nss%s Page 1 of 1 0 <br />1r <br />ti