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POLICY NUMBER: PPP1006536E COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED 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 />Effective Date: 06/12/2013 12:00 AM <br />City of Santa Ana <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 <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to their liability for "bodily injury", <br />'.property damage' or "personal and advertising <br />injury" caused, in whole or in part, by your acts or <br />omissions or the acts or omissions or the acts or <br />omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connectionwith the premises owned by or <br />rented to you. <br />CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 <br />so FORIA <br />APPROVED A5 <br />E. STORCK <br />Attof <br />Assistant C� <br />3 <br />