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r� <br />U <br />r <br />L J <br />• <br />POLICY NUMBER: 201 22050Nf'0 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />i ! # I i y M <br />0 * . 01 <br />This endorsement modifies insurance provided under the following. <br />COMIMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Or anization 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 in effect, 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 consideration 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 Ann, its officers, employees, agents, volunteers and representatives <br />Insurance is primary and non - contributory <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 organi- <br />zation(s) shown in the Schedule, but only with respect <br />to liability for "bodily injury ", "property damage" or <br />"personal and advertising injury" caused, in whole or <br />in part, by your acts or omissions or the acts or omis- <br />sions of those acting on your behalf: <br />A. In the performance of your ongoing operations: or <br />S. In connection with your promises owned by or <br />rented to you. <br />APPIiOV-P AS '�.O F(",Vm <br />t`.�L15A EG <br />jstant <br />CG 20 26 07 04 Cc) ISO Properties. Inc.. 2004 Page 1 of 1 <br />9 <br />