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POLICY NUMBER: 201501835NPO <br />COMMERCIAL GENERAL LIABILITY <br />CG 2012 07 98 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED - <br />STATE OR POLITICAL SUBDIVISIONS - PERMITS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Political Subdivision: <br />Any State or Political Subdivision that issues a permit to the named Insured. <br />City of Santa Ana, Its officers, agents, employees, and volunteers. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />Section II — Who Is An Insured is amended to 2. This insurance does not apply to: <br />include as an insured any state or political subdivi- a. "Bodily injury," "property damage" or "personal <br />sion shown in the Schedule, subject to the following and advertising Injury' arising out of opera - <br />provisions: tions performed for the state or municipality; <br />1. This insurance applies only with respect to opera- or <br />tions performed by you or on your behalf for b. "Bodily injury' or "property damage" included <br />which the state or political subdivision has issued within the "products -completed operations <br />a permit. hazard". <br />CG 2012 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 0 <br />