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PI-MANU-1 (01/00) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />AI- State or Political Subdivision-CG2012/Primary & Non Cont Wording <br />ADDITIONAL INSURED - <br />STATE OR POLITICAL SUBDIVISIONS - PERMITS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Political Subdivision: <br />City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />It is agreed that such insurance as is afforded by this policy for the <br />benefit of the additional insured shown shall be primary insurance and any <br />other insurance maintained by the additional insured shall be excess and <br />non-contributory except for Gross Negligence or Willful Misconduct by the <br />Additional Insured, but only with respect to liability arising out of <br />operations performed for the additional insured by or on behalf of the named <br />insured. <br />(If no entry appears above, information required to complete this <br />endorsement will be shown in the Declarations as applicable to this <br />endorsement.) <br />Section II - Who Is An Insured is amended to include as an insured any <br />state or political subdivi-sion shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to opera-tions performed <br />by you or on your behalf for which the state or political subdivision has <br />issued a permit. <br />2. This insurance does not apply to: <br />All other terms and conditions of this Policy remain unchanged. <br />Page 1 of 2 <br />`1'®® <br />rtJ?/?,?pEtG??e11 <br />'cm A??oC <br />Fps°s?ar