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POLICY NUMBER, PK201700003723 COMMERCIAL GENERAL LIABILITY <br />CG 20 12 05 Be <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE HEAD IT CAREFULLY, <br />ADDITIONAL INSURED - NATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION - PERMITS OR AUTHORIZATIONS <br />I his endorsement modifies insurance provided under the following - <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or SubcNvisian Or Politica Subdivision: <br />CITY OF SANTA ANA <br />PARKS, RECREATION AND COMMUNITY SERVICES AGENCY <br />20 CIVIC CENTER PLAZA, PO BOX 1988 M-23, SANTA ANA, CA 92702 <br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives <br />Section 11 — Who la An Insured is amended to in- <br />clude as an insured any state or governmental <br />agency or subdivision or political subdivision shown in <br />the Schedule. subject to the following provisions. <br />Y. This insurance applees only with respect to opera- <br />tions performed by you or on your babel for which <br />the state or governmental agency or subdivisi or <br />polpical subdivision has issued a permit or au- <br />thorization. <br />a_ <br />w <br />CG 20 12 05 09 <br />in the <br />2, This insurance does ooll applyto: <br />a- 'Body injury", 'property damage" or 'personal <br />and advertising injury' arising out of operations <br />performed for the federal government, state or <br />municoaloy: of <br />b. "godly iqury or "property damage" included <br />within the "products -completed operallons <br />hazard <br />C Insurance Services Office, Inc., 2008 <br />