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BUSINESSOWNERS <br />PB 60 04 04 11 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - SERVICES PERFORMED ON <br />PREMISES OF ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM <br />A. The following is added to Section II. WHO IS AN <br />INSURED: <br />The person or organization designated in the <br />Schedule of this endorsement is also an <br />insured, but only with respect to their liability for <br />"bodily injury" or "property damage" caused, in <br />whole or in part, by your acts or omissions or the <br />acts or omissions of those acting on your behalf <br />in connection with acts or services normal and <br />usual to your business described in the <br />Declarations, performed by you or on your <br />behalf for the person or organization designated <br />in the Schedule of this endorsement on <br />premises owned, leased, maintained or used by <br />such person or organization. <br />B. ADDITIONAL EXCLUSION <br />This insurance, including our duty to defend <br />"suits", does not apply to "bodily injury', <br />"property damage" or "personal and advertising <br />injury" arising out of any active negligence of the <br />person or organization designated in the <br />Schedule of this endorsement. <br />All terms and conditions of this policy apply unless modified by this endorsement. <br />SCHEDULE <br />Name of Person or Organization: <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS & EMPLOYEES <br />20 CIVIC CENTER PLAZA (M-30) <br />P.O. BOX 1988 <br />SANTA ANA CA 927021988 <br />PB 60 04 04 11 <br />ACP BPO 7855235273 <br />INSURED COPY <br />Page 1 of 1 <br />47 03112 <br />