NANCY K. BOHL, INC., DBA: THE COUNSELING TEAM INTERNATIONAL

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Policy No. 92 LS1426 CMP-4766.1 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 92 LB1426 Named Insured: -NA_CCY K. FO .L I,dC D3A THE COOTNSELI:\G TEAM IN."TERNATIONAL AND CBA TEE. 0-GAIN:ZATIONA.L SET✓dORX. PO BOX 10423 S" 3ERNRI)NO CA .92423 C1123 Name And Address Of Additional Insured Person Or Organization: CITY OF SANTA A`:A ITS OFFICERS EMPLOYEES AGENTS VOL-IiNTE-ERS & RE3RESENTATIV S 20 CIVIC CENTER PLZ SANTA ANA CA 92301 40—zB SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured: any person or organization shown in the Schedule, but only with respect to liability for "bodily injury', "property damage", or "personal and advertis- ing injury" caused, in whole or in part, by; a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products —Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1, above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Cade Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit" is tendered to us. O, Copyright. State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of In uran UEpces Office, Inc., with its permission.