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ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION Policy Number Endorsement Effective Date Endorsement Number PEM 0000006-04 July 1, 2016 14 This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART PUBLIC ENTITY RETAINED LIMITS, POLICY SCHEDULE Name of additional insured person(s) or organ ization(s): The City of Santa Ana, its officers, employees, agents, and representative are named with respect to services provided as Consultant for the Institutes of Museum and Library Services Leadership Grant. $1,000,000 Occurrence Limit $1,000,000 Aggregate With respect to the General Liability Coverage Part only, it is agreed that Definition 20. Insured, contained in the Common Conditions, Definitions and Exclusions is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule but only with respect to liability for bodily injury, property damage, personal injury, or advertising injury caused in whole or in part, by acts or omissions of the named insured or the acts or omissions of those acting on behalf of the named insured: A. In the performance of the ongoing operations of the named insured; or B. In connection with the named insured's premises owned by or rented to the named insured. If, prior to an occurrence, you have specifically agreed in a written, contract to provide primary insurance for any person(s) or organizations (s) shown in the Schedule, this insurance will apply on a primary basis with Page 1 of 1 a W, R, BERKLEY COMPANY Includes copyrighted material of Insurance Services Office Inc. with its permission. PEN1008 01:1/15 A