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0694804 GREAT AMERICAN ALLIANCE INS CO <br />Adm301E 4th <br />Street offices CG 20 26 E d. 0 4/ 1 3 <br />301E 4th Street ( ) <br />:RI AT Cincinnati ON 45202-4201 <br />AML'RICAN 5133695006 ph Policy: PAC 515-46-80 09 <br />INSURANCE GROUP <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />ch ed u I a <br />me of Additional Insured Person(s) or 0-ganIzatIon(s): <br />HE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />MPLOYEES AND VOLUNTEERS, AND THE STATE OF CALIFORNIA, <br />TS OFFICERS, EMPLOYEES, AND VOLUNTEERS <br />ITY OF SANTA ANA, WORKFORCE INVESTMENT BOARD <br />000 E. SANTA ANA BLVD., STE. 200 <br />ANTA ANA, CA 92702 <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 include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" <br />or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br />omissions of those acting on your behalf: <br />1. in the performance of your ongoing operations; or <br />2. in connection with your premises owned by or rented to you. <br />However: <br />1. the insurance afforded to such additional insured only applies to the extent permitted by law; and <br />2. if coverage provided to the Additional Insured is required by a contract or agreement, the insurance <br />afforded to such additional insured will not be broader than that which you are required by the contract <br />or agreement to provide for such additional insured. <br />Copyright, ISO Properties, Inc., 2012 <br />CG 20 26 04/13 (Page 1 of 2 ) <br />.�i Cl��i <br />