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)}16 <br />a (fan© rer <br />Insurance Group.. <br />OHF9262847 6701071 <br />T14IS ENDORSEMENT CHANGES 7HE POLOCV. PLEASE READ VT CARr:F DL(LY. <br />OR ORGANVATUON <br />This endorsement modifies Insurance provided under the following: <br />©USIMESSOWMERS COVERAGE FORM <br />SCHEDULE <br />I Name Of Additional Insured Persons) Ov Oraanlzation(s): I <br />City of Santa Ana <br />I Informatlon required to complete this Schedule, if not shown above, will be shown in the Declarations. I <br />The following Is added to Paragraph C. Who Is An <br />Insured In Section it - Liability: <br />3. Any person(s) or organization(s) shown In the <br />Schedule Is also an additional insured, but only <br />with respect to liability for "bodlly Injury', <br />"property damage" or "personal and advertising <br />Injury" caused, In whole or in part, by your acts <br />or omissions or the acts or omissions of those <br />acting on your behalf in the performance of your <br />ongoing operations or In connection with your <br />premises owned by or rented to you. <br />HIP 04 48 01 06 Copyright, 160 Propertfes, Inc., 2004 Page 1 of 9 <br />