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BUSINESSOWNERS <br />PB 60 0104 11 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - FAIRS, CARNIVALS OR <br />EXPOSITIONS <br />This endorsement modifies insurance provided under the following: <br />PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM <br />The following is added to Section I. WHO IS AN <br />INSURED: <br />A. The person or organization designated in the <br />Schedule of this endorsement is also an insured, but <br />only with respect to their liability for "bodily injury' or <br />"property damage" caused, in whole or in part, by <br />your acts or omissions or the acts or omissions of <br />those acting on your behalf in connection with your <br />use, or your operations in connection with your use, <br />of that part of the premises made available to you as <br />a concessionaire or exhibitor atthe fair, carnival, <br />exposition or trade show shown in the Schedule of <br />this endorsement. <br />B. ADDITIONAL EXCLUSIONS <br />This insurance, including our duty to defend <br />"suits", does not apply: <br />1. To any "occurrence" that takes place after <br />you cease to be a concessionaire or <br />exhibitor at the fair, carnival or exposition <br />designated above; or <br />2. To "bodily injury" of "property damage" <br />arising out of any active negligence of the <br />person or organization designated in the <br />Schedule of this endorsement. <br />All terms and conditions of this policy apply unless modified by this endorsement <br />SCHEDULE <br />Fair, Carnival, Exposition Or Trade Show: <br />Cinco De Mayo - Santa Ana <br />13425 S Figueroa St <br />Los Angeles, CA 90061 1143 <br />Name of Person or Organization: <br />The City of Santa Ana, it's officers, <br />employees, agents, and representatives <br />20 Civic Center Plaza M-23 <br />Santa Ana, CA 92701 <br />PB 60 0104 11 <br />ACP BPR 3036634719 <br />Reviewed by: <br />Silvia Cuevas <br />PRCSA/Admin. <br />Page 1of1 <br />