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AMENDED 07/25/2013 0694804 GREAT AMERICAN INSURANCE CO <br />Adm301E4hStreoffices CG 20 26 Ed.07/04 <br />L-^—•�. 301E 4th Street ( ) <br />1 <br />riRrA - Cincinnati OH 45202-4201 ANlli'ItICAN 5133695000ph Policy: PAC 033-09-78 00 <br />INSURANGEGROUP <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 />dame of Person or Organization: <br />:ITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />\GENTS, VOLUNTEERS, AND REPRESENTATIVES <br />,ITY OF SANTA ANA <br />1000 E. SANTA ANA BLVD. SUITE 200 <br />SANTA ANA. CA 92701 <br />VHERE REQUIRED BY WRITTEN CONTRACT, <br />:EVISION OF OTHER INSURANCE CLAUSE <br />'RIMARY INSURANCE: <br />-HIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY <br />>UCH ADDITIONAL INSUREDS IS NONCONTRIBUTING WITH THIS INSURANCE <br />\S RESPECTS LEGAL LIABILITIES OR CLAIMS CAUSED BY, ARISING OUT OF <br />>R RESULTING FROM THE ACTS OR OMISSIONS OF THE NAMED INSURED, OR <br />DF OTHERS PERFORMED ON BEHALF OF THE NAMED INSURED. <br />,LL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. <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 include as an Additional Insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or <br />..personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br />omissions of those acting on your behalf: M , 0 �,OlkA <br />A. in the performance of your ongoing operations; or ��apii�r9 <br />B. in connection with your premises owned by or rented to you. fit_ E, Sf�mkoYriey <br />lshant GG tY <br />Pss <br />Copyright, Insurance Services Office, Inc., 1984 <br />CG 20 26 07104 (Page 1 of 1) <br />