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POLICY NUMBER: I'PSisvdzoe COMMERCIAL GENERAL LIABILITY <br />CG 20 12 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION - PERMITS OR AUTHORIZATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />THF. :S C'I'Y of s.iar,I. ANA <br />'Ts aFzlce.xs, om roviz.q, Ailewrc, VGLO'NTEER5 tANLJ RSL vE'u`GMCATT VI"i3 <br />c" CT V 1:4: {; ,N"P FiR nLA'GA <br />SAN'CA ANA. CALtirO.LA '1).101 <br />Information raquGed tobanrplete this Schodula, U not shown above, will be shown in the Declarations.. <br />A. Section 11 - Who Is An insured is amended to <br />Include as an additional insured any state or <br />governmental agency or subdivision or political <br />subdivision shown is the Schedule, subject to the <br />Following provisions: <br />1. This insurance applies only with respect to op- <br />erations performed by you or on your behalf <br />for which the state or governmental agency or <br />subdivision or political subdivision has issued <br />a permit or authorization_ <br />However: <br />a. The Insurance afforded to such additional <br />Insured only applies to the extent permit- <br />ted by law; and <br />b. If coverage provided to the additional <br />Insured Is required by a contract or agree- <br />ment, the Insurance afforded to such addl- <br />haunt insured will not be broader than that <br />which you are required by the contract or <br />agreement to provide for such additional <br />Insured. <br />2. This insurance does not apply to <br />a. "Bodily injury", 'property damage" or "per- <br />sonal and advertising injury" arising out of <br />operations performed for the federal gov- <br />ernment, state or munioipalfty; or <br />b. 'Bodily Injury" or "property damage" in- <br />cluded within the "products -completed op- <br />erations hazard". <br />B. With respect to the Insurance afforded to these <br />additional insureds, the following Is added to Sec- <br />tion IIt - Limits Of Insurance: <br />If coverage provided to the additional insured is re- <br />quired by a contract or agreament, the most we <br />will pay on behalf of the additional Insured Is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insur- <br />ance shown in the Declarations: <br />whichever is less_ <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown In the Declarations. <br />CG 20 12 04 13 Copyright, Insurance Services Office, Inc., 2012 <br />SNHCl-RD <br />APPROV <br />P,0 TO FCiRM <br />�JSA C, gTORCK <br />Assistantp"�rnoY <br />def<I L]Ot <br />1 <br />