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POLICY NUMBER: PK202000012079 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANISATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />Any person or organization when you and such person or organization have agreed in writing in a contract or <br />agreement that such person or organization be added as an additional insured on your policy prior to <br />performance of the agreement. <br />The city of Santa Ana, its officers, officials, employees and volunteers. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, by your acts or <br />omissions or the acts or omissions of those acting <br />on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 <br />�„ oR,N� RI�feMr�agdr►te�lDiviaian <br />REVIEWED&APPROVED BI: <br />��� Risk Management Supervisor <br />