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UNITED STATES LIABILITY INSURANCE GROUP <br />WAYNE, PENNSYLVANIA <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Primary And Non -Contributory - Written Contract <br />Schedule: <br />Effective Date: 1012612016 <br />Name of Person or Organization: <br />iii• :["t:?I'Ji:., k:5' :;. <br />City of Santa Ana, its officers, agents, employees, volunteers, and representatives r/ 3r•' ;, <br />20 Civic Center Plaza <br />Santa Ane, CA 92702 <br />(If no entry appears above, the information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement) ;- <br />SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, <br />Paragraph 4. OTHER INSURANCE, a. Primary Insurance is amended with the addition of the following: <br />The coverage afforded by this policy to the person(s) or organization(s) listed above is primary and non- <br />contributory if: <br />1. This insurance is required to be primary and non-contributory under a written contract; and ✓ <br />2. The loss to be covered occurs on or after the effective date of the written contract; and <br />3. The loss to be covered resulted solely and exclusively from your ongoing acts or omissions or the:ongoing <br />acts or omissions of those acting on your behalf in performing "your work" under a written contrdot"" <br />referred to above. <br />4. The person(s) or organization(s) is an additional insured under this policy. ✓ :;rt�tic:n;s <br />However, the coverage provided by this endorsement does not apply to any coverage provided for an "auto' on a <br />"non -owned auto", "hired auto', uninsured motorists coverage, underinsured motorists coverage, personal injury <br />protection, property protection or similar no-fault coverage by whatever name called and/or an "auto" coverage of <br />any type. <br />All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and.takes <br />effect on the effective date of your policy unless another effective date is shown. <br />L 776 (10-13) <br />Page 1 of <br />�6ie,we6 Vi <br />,� <br />