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POLICY NIJWB�RPK201600003723 COMMERCIALr z <br />+, r9 <br />THIS ENDORSEMENT CHANGES THE POLICY, <br />ADDITIONAL INSURED OR <br />AGENCY OR SUBDIVISION OR POLITICAL <br />! •AUTHORIZATIONS <br />This eruforsement modifies insurance Wovided under the lollo4 ng'. <br />COMME"ACfAL.GEN*WkAl, f,IA8ft.if"v COVEAAGf PART <br />&IM114t1111114 <br />State Or Governmental Agency Or Subdivision Or PoWca Subdivision. <br />CITY OF SANTA ANA <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />20 CIVIC CENTER PLAZA, PO BOX 1988 M-16, SANTA ANA, CA 92702 <br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives <br />Section It — Who I& An Insured is amended to in- <br />ciudo as an insured any stale or governnentat <br />agency or subdivision or pofrtical subdivision shown in <br />the Schedule. subject to the following provisions. <br />1. This insurance applies only with respect to opera- <br />tions performed by you or on your behatf for which <br />the state or governmental agency or su Arvision or <br />p 0c,ai subdivision has issued a permit or au- <br />tfhoresalion. <br />2, This slsurance dines not apply to <br />& "Bodily injury", 'property Barrage" or 'personal <br />and advertising injury" *rising out of operations <br />performed tof the federal goverrwnent, stale or <br />municolily: or <br />ts. "Bed61y qury' or "property darnage" included <br />within the "produces -completed operations <br />hazard", <br />CO 20 12 05 09 0 Insurance Services Office. fry., 2008 Wage 1 of 1 0 <br />