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POLICY NUMBER: PAC2261764 COMMERCIAL GENERAL LIABILITY CO 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. R r ~ ,.. 'IBM This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organlzation(s) Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, and for which a certificate of insurance naming such person or organization as additional insured has been Issued, but only with respect to their liability arising out of their requirements for certain perfor- mance placed upon you, as a nonprofit organization, in consideration for funding or financial contribu- tions you receive from them. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AS ADDITIONAL INSURED. Information re uired to complete this Schedule, if not shown above, will be shown In the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury ", "properly damage" or "personal and advertising injury" caused, in whole or In part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. i YT'�i(�VED AS TO T's) 71 IV' Assistant City Attorney I,)-- CG 20 26 07 04 0 180 Properties, Inc., 2004 Page 1 of 1 ❑