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L S)"1U/1//1'i`NA U U 33 U9/H U1 b/43b3435b 'U/b Urtlta IIVIAIit UUNY <br />0694804 GREAT AMERICAN INSURANCE CO <br />Ad et <br />301E 4hSireorfirw CG 2ll 26 (Ed.04/13 ) <br />Atli t4tlr live0 <br />Cis wna[ OH 45202-4201 <br />s11FAr1AAtEgtw,4iy etaasss on Policy: PAC 033-09-78 01 <br />INSURANCE GROUP <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 />chedule <br />dame of Additional Insured Person(s) or Organization(s): <br />:ITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />1GENTS, VOLUNTEERS. AND REPRESENTATIVES <br />:ITY OF SANTA ANA <br />000 E. SANTA ANA BLVD. SUITE 200 <br />SANTA ANA. CA 52701 <br />INSURANCE IS PRIMARY AND NON-CONTRIBUTORY PER FORM CG2001. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. SECTION 11 - 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 04113 (Page 1 of 2) <br />1 <br />EXHIBIT I U` t <br />.�rt.J h'ttarnc I <br />