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Policy Number: <br />B 4031343323 <br />Commercial General Liability <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. <br />ADDITIONAL INSURED -- DESIGNATED PERSON OR <br />ORGANIZATION <br />Ibis endorsement modifies insurance provided under the following: <br />Commercial General Liability Coverage Park <br />SCHEDULE <br />Name of Additional Insured Person (s) or Organization (s)e <br />The City of Santa Ann, <br />Its officials, employees, agents, volunteers and representatives. <br />24) Civic Center Plaza, Santa Ana, Ca. 92701 <br />The policy is amended to include the above as an additional insured, but only with <br />respect to 1,iability for "bodily injury" "property damage" or "personal and advertising <br />injury" caused in whole or pant, by your acts or omissions or the acts or omissions of <br />those acting on your behalf. <br />A. In the performance of your on going operations or; <br />B. In connection with your premises owned by or rented to you. <br />It is agreed that this insurance is primary and Non - Contributory, It k also agreed that any <br />insurance issued to the additional insured applicable to a loss, other than the insurance <br />provided by this endorsement shalt be excess over this insurance. <br />Location (s) of Covered Operations <br />Where required by contract at any location in the State of California <br />CG 2010 07 04 Copyright, Insurance Services Office, Inc„ 2004 page I of I <br />Rev /ewc'D QY <br />�/3 <br />7 <br />