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L- $,1.10/11!1 SPA 560337 & -06 '39EI0ZA5 -,9_. AGENTS ---,) 0178469 0178469 GREAT AMERICAN ASSURANCE CO <br />01 Ei,,asivQenm��: CG 20 26 (Ed.07 /04 ) <br />nhil. 45202-e2e1 <br />�ATVAAI[FRICANC Ter. 1- 513-369 -5een <br />-1-1 — «.11 Policy: PAC 560 -37 -38 06 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -- DESIGNATED OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHE <br />ime of Person or Organization <br />-IE CITY OF SANTA ANA; IT'S OFFICERS, EMPLOYEES, AGENTS, <br />)LUNTEERS, AND REPRESENTATIVES <br />)MMUNITY DEVELOPMENT AGENCY <br />) CIVIC CENTER PLAZA <br />aNTA ANA, CA 92702 <br />PRIMARY INSURANCE: <br />IIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY SUCH <br />)DITIONAL INSUREDS IS NONCONTRIBUTING WITH THIS INSURANCE AS RESPECT <br />:GAL LIABILITIES OR CLAIMS CAUSED BY, ARISING OUT OF OR RESULTING <br />IOM THE ACTS OR OMISSIONS OF THE NAMED INSURED, OR OF OTHERS <br />RFORMED ON BEHALF OF THE NAMED INSURED. <br />.L OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. <br />)rmation required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />;TION II - WHO IS AN INSURED is amended to include as an Additional Insured the person($) or <br />,anization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or <br />rsonal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br />issions of those acting on your behalf <br />in the performance of your ongoing operations: or <br />in connection with your premises owned by or rented to you <br />TO FORM <br />LISA E. gTORcK <br />Assistant City Attorney <br />Copyright, Insurance Services Office, Inc., 7984 `/-) <br />eG 20 26 07/04 (Page 1 of 1) <br />