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POLICY NUMBER: 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 />THE [ISTy CJP' 9ANTA ANA <br />L'P. CJ f'1"L[, GIv1pLO. E£.S', AC:EN Pi VOL:UN PliGRfi ANC PEI RL'.S'ELITATI VIi:S <br />20 CZVEC. CEN'S'ER 11L.ZA <br />.SA.N'rH ANA, CALSF.cN [A 9290]. <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 <br />include as an additional insured any state at - <br />governmental agency or subdivision or political <br />subdivision shown in 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 addi- <br />tional 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 municipality; 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 III - Limits Of Insurance: <br />If coverage provided to the additional Insured is re- <br />quired by a contract or agreement, 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 0413 Copyright, Insurance Services Office, Inc., 2012 <br />L II5URED <br />APPROVED <br />AS TO ppRM <br />L15A 5•. <br />.TORCK <br />Assistant�ney <br />cy/3/001.20113 . fop <br />�l <br />