Laserfiche WebLink
POLICY NUMBER: 604655924 <br />BUSINESSOWNERS <br />BP 04 52 01 97 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -- STATE OR POLITICAL <br />SUBDIVISIONS -- PERMITS <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS POLICY <br />SCHEDULE* <br />State Or Political Subdivision: T14E CITY OF SANTA ANA, ITS SEE E0002 <br />* Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Decla- <br />rations. <br />The following is added to Paragraph C. Who Is An b. This insurance does not apply to: <br />Insured in the Businessowners Liability Coverage (1) 'Bodily injury", "property damage", <br />Form: 11 ,t 11 <br />4. Any state or political subdivision shown in the <br />Schedule is also an insured, subject to the follow- <br />ing provisions: <br />a. This insurance applies only with respect to <br />operations performed by you or on your behalf <br />for which the state or political subdivision has <br />issued a permit. <br />personal injury or advertising injury <br />arising out of operations performed for the <br />state or municipality; or <br />(2) "Bodily injury" or "property damage" in- <br />cluded within the "products -completed op- <br />erations hazard". <br />BP 04 52 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 11 <br />