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"REPRINTED FROM THE ARCHIVE THE ORIGINAL TRANW710M MAY INCI.UOE ADMIONAL FORMS — <br />Golden Eaglc COMMERCIAL GENERAL LIABILITY <br />Insurance. CG 20 26 07 04 <br />POLICY NUMBER: 24 -CC- 298378 -1 <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 fonowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons) Or Organfzatlon(s) <br />CITY OF SANTA ANA <br />I Information required to complete this Schedule, 'rf not shown above, will be shown in the Declarations. I <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for 'bodily injury", *property <br />damage" or ~personal and advertising injury" caused, <br />in whole or in part, by your acts or omissions or the <br />acts or omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; <br />or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 <br />0 <br />io <br />- RM <br />O ISO Properties, Inc., 2004 <br />e <br />EP <br />AFP•METAV ORIRr001- M0135.v <br />