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RM Policy No. 92 -EM -F627-9 AGT 3991- FA64 CMP -4860.1 <br />Page 1 of 2 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />CMP -4860.1 ADDITIONAL INSURED -•-- DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Policy Number: 92 -EM -F627-9 <br />Named Insured: <br />GUZMAN, JOSE <br />DBA TRES ESTRELLAS DE ORO <br />2414 E FLORENCE AVE <br />HUNTINGTON PK CA 90255.5727 <br />Name And Address Of Additional Insured Person Or Organization: <br />THE CITY OF SANTA ANA ITS <br />OFFICERS EMPLOYEES & AGENTS <br />20 CIVIC CENTER PLZ STE M21 <br />SANTA ANA CA 92701 4058 <br />1. SECTION II ---- WHO IS AN INSURED of <br />SECTION II --- LIABILITY is amended to in= <br />clude, as an additional insured, any person or <br />organization shown in the Schedule, but only <br />with respect to liability for "bodily injur)r", <br />"property damage", or "personal and advertis- <br />ing injury" caused, in whole or in part, by: <br />a. Premises And Ongoing Operations <br />Your acts or omissions or the acts or <br />omissions of those acting on your behalf: <br />(.1) In connection with your premises; or <br />(2) In the performance of your ongoing <br />operations; or <br />b. Products—Completed Operations <br />"Your work" performed for that additional <br />insured and included in the "products - <br />completed operations hazard". <br />However, Paragraph 1. above is subject to the <br />following: <br />a. The insurance afforded to the additional <br />insured only applies to the extent permit- <br />ted by law; <br />b. If coverage provided to the additional in- <br />sured is required by a contract or agree- <br />ment, the insurance provided to the <br />additional insured will not be broader than <br />that which you are required by the con- <br />tract or agreement to provide for such ad- <br />ditional insured; and <br />c. If the contract or agreement between you <br />and the additional insured is governed by <br />California Civil Code Section 2782 or <br />2782.05, the insurance provided to the <br />additional insured is the lesser of that <br />which: <br />(1) Is allowed for the satisfaction of a de- <br />fense or indemnity obligation by Cali- <br />fornia Civil Code Section 2782 or <br />2782.05 for your sole liability; or <br />(2) You are required by contract or <br />agreement to provide for such addi- <br />tional insured. <br />We have no duty to defend or indemnify the <br />additional insured under this endorsement un- <br />til a claim or "suit" is tendered to us. <br />(0, Copyright, State Farm Mutual Automobile Insurance Company, 2013 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />CONTINUED <br />REVIEWED BY: EUNICE HEREDIA (PG 2GF� ) <br />