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U b'I -1 ullttI1 -Y AUU3 JUU I25 -U1 b /4Jb343b `Ulb OHIG IMAGE COPY <br />0694804 GREAT AMERICAN INSURANCE CO <br />�— Admin,stiative 0ffiees CG 20 2 6 E d. 0 4/ 1 3 <br />'sot E4th street ( ) <br />- Oncunti OH 45202-4201 sTY=A79A10JCAA <br />513309SGGGph: Policy: PAC 033 -09.78 01 <br />INSOANGE GPOUP <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 />chedu I <br />Jame of Additional Insured Person(s) or Organizatlon(s): <br />;ITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS, AND REPRESENTATIVES <br />;ITY OF SANTA ANA <br />000 E. SANTA ANA BLVD. SUITE 200 <br />SANTA ANA, CA 92701 <br />H INSURANCE IS PRIMARY AND NON- CONTRIBUTORY PER FORM CG20.01. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations <br />A. 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" <br />or "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: <br />1. in the performance of your ongoing operations; or <br />2, in connection with your premises owned by or rented to you. <br />However: <br />1, the insurance afforded to such additional insured only applies to the extent permitted by law; and <br />2. if coverage provided to the Additional Insured is required by a contract or agreement, the insurance <br />afforded to such additional insured will not be broader than that which you are required by the contract <br />or agreement to provide for such additional insured. <br />Copyright, ISO Properties, Inc.,. 2012 <br />CG 20 26 04/13 (Page 1 of 2 <br />- <br />t�. 7;S <br />qCV <br />26AA 08 <br />A'aoYnE'11A <br />