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POLICY NUMBER:201221765NPO <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 Person(s) Or Organization(s) <br />Any person or organization that you are required to add as an additional insured on this policy, under <br />a written contract or agreement currently ineffect., or becoming effective during the term of this policy, <br />and for which a certificate of insurance naming such person or organization as additional insured has <br />been issued, but only with respect to their liability arising out of their requirements for certain perform- <br />ance placed upon you, as a nonprofit organization, in for funding or financial contribu- <br />tions you receive from them. The additional insured status will not be afforded with respect to liability <br />arising out of or related to your activities as a real estate manager for that person or organization. <br />The City of Santa Ana, its officers, employees, agents and volunteers <br />Re: Use of City Premise at 640 E. Memory Lane, Santa Ana, CA 92705 <br />Informaton required to complete this Schedule, if not shown above, will be shown in 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 />ApPROVED AS TO <br />LISA E. STOR� C�K <br />Assistant City Attorney <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 <br />G 0 <br />c <br />Page 1 of 7 � <br />