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Additional InSUred - State or Governmental Agency <br />Mb r SUbdivision or Political Subdivision: - <br />Permits or Authorizations Endorsement <br />This endorsement modifies insurance provided Under the followirg: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency, Or Subdivision Or Political Subdivision: <br />The City of Santa Ana its Officers, employees, agents, Volunteers and representatives. <br />City of Santa <br />60 Civic Center Plaza <br />Santa Ana, CA 92701 -0000 <br />Intormation required to oornptiete this Schedule, if not shown above, will be shown in the Declarations, <br />It is understood and agreed as follows: <br />A. The WHO IS, AN INSURED is amended to add as an Insured any state or governmental agency Or Subdivision <br />or political subdivision shown in the Schedule that has issued a permit or authorization for operations performed <br />by or on behalf of the Named lnSUred, but only with respect to bodily injury, property damage or personal <br />and advertising injury arising out of the permitted or authorized operations. <br />However, if coverage for the additional insured is, required by written contract or written agreement, subject <br />always to the terms and conditions of this policy, including the limits of insurance the Insurer will not provide <br />Such additional insured with: <br />1. coverage broader than required by Such contract or agreement-, or <br />Z a higher limit of insurance than required by such contract or agreement. <br />S. This insurance provided to the additional insured does not apply to: <br />1, bodily injury, property damage or personal and advertising injury arising out of operations performed <br />for the federal government, state Or Municipality, or <br />2, bodily injury or property damage inducted within the products -completed operations hazard. <br />All other terms and conditions of the Policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the Policy Issued by the designated Insurers, takes <br />effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown <br />below, and expires concurrently with said Policy. <br />CNA74739XX (1-15) <br />Page 1 of 1 <br />National Fire Insurance of Hartford <br />Insured Panne: Palermo TT Holdings, Inc <br />CLipyright CNA Alt Rights Reserved <br />Policy No: 6024533045 <br />Endorsement No: 1 <br />Effective Date: 05/0112016 <br />IIICLides copyrighted mMedal of Insufance Se[vices Office Inc with its permission <br />