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ji] ff Nl7Zl1111&1-1:1 M Welf t-b*ij <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 13 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED - STATE <br />OR GOVERNMENTAL AGENCY OR SUBDIVISION <br />OR POLITICAL SUBDIVISION - PERMITS <br />OR AUTHORIZATIONS RELATING TO PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Govemmental Agency Or Subdivision Or Political Subdivision: <br />City of Santa Ana, Risk Management Division <br />Risk Management, its officers, employees, agents, representatives, and volunteers <br />20 Civic Center Plaza, 4th Floor, Santa Ana, CA 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II - Who Is An Insured is amended to <br />However: <br />include as an additional insured any state or <br />1. The insurance afforded to such additional <br />governmental agency or subdivision or political <br />insured only applies to the extent permitted by <br />subdivision shown in the Schedule, subject to the <br />law; and <br />following additional provision: <br />This insurance applies only with respect to the <br />2. If coverage provided to the additional insured <br />following hazards for which the state or <br />is required by a contract or agreement, the <br />insurance afforded to such additional insured <br />governmental agency or subdivision or political <br />will not be broader than that which you are <br />subdivision has issued a permit or authorization in <br />required by the contract or agreement to <br />connection with premises you own, rent or control <br />provide for such additional insured. <br />and to which this insurance applies: <br />1. The existence, maintenance, repair, <br />B. With respect to the insurance afforded to these <br />construction, erection or removal of <br />additional insureds, the following is added to <br />advertising signs, awnings, canopies, cellar <br />Section III - Limits Of Insurance: <br />entrances, coal holes, driveways, manholes, <br />If coverage provided to the additional insured is <br />marquees, hoist away openings, sidewalk <br />required by a contract or agreement, the most we <br />vaults, street banners or decorations and <br />will pay on behalf of the additional insured is the <br />similar exposures; or <br />amount of insurance: <br />2. The construction, erection or removal of <br />1. Required by the contract or agreement; or <br />elevators; or <br />2. Available under the applicable Limits of <br />3. The ownership, maintenance or use of any <br />Insurance shown in the Declarations; <br />elevators covered by this insurance. <br />whichever is less. <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown in the Declarations. <br />REVIEyyED & APPROVED <br />Uy RiSK MANAGEMENT DIVISION <br />08 2020 <br />SAMANTHA M. LAMBERT <br />CG 2013 0413 Copyright Insurance Services Office, Inc.. 2012 Page 1 of 1 <br />