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(o '21/2)(12 0714 FAIX RMI INSURANCE 1&002/002 <br />PO LJ(-,Y Na UMBEJI: CPS5 12403 COMMERCIAL GI NE?,AL LIAB)Ll <br />TRIS ENDORSEMENT CIIANaLS ME POLICY. PLEASEREADIT CAREFULLY. <br />'OVERAGE <br />AJ)PITIONAL INSURED PRIMARY C, <br />This endorsement utodifie 5 ilt-Sllrancc pro kided under the foLlowing, <br />COMMERCIAL GENERA1 LIATHLITV COVERAGE FORM. <br />This endorsement changes (ho policy offectivc on the inception date of the poficy artless another date is indicated <br />bdow. <br />Endorsement Effective: June 21,2002 <br />Scottsdale Insurance <br />Named <br />Countrrsigntd8y: <br />Friendship Shelter Tic <br />SCL'19)ULE <br />Naine of -Persan or Organization - <br />City of Santa Ana,— CDBG M-25 <br />Cornrnunicy Dcyeltipnient Ag�'ncy <br />PO Box 1988 <br />Santa Ana, CA 92702 <br />kAutnorizt(I KepVCSellEallve) <br />(if no entry appeus above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endmsexnont-) <br />THO IS AN FNSI-JRFD (Section 11) is arriondcd to include o an insured the peNon. or organization 4,L)wij but onLy, <br />wid), respect to liability arising out of 'your ongoing operatiow" for that insured by or for you. <br />The fryllo'Aing is added. to SECTIONV-COND4ERCTAi GENLILAL LIABILITY CONID4TIONS, paragnph 4. <br />Offic-l- Insurance: <br />d. This insuratace is primqry for ffie peizox� or organisation SlIfIVIII in the schedule, but Drilywith respect <br />to liability arising out of "Your NiVA' for r1ink insured by or for you- Other insurance afforded to that <br />inr,uTCd .01 apply as excess,, and not contribute: as primary to the insurance afforded, by rhis cnflorseTnrnt- <br />All other tcrinS and conditions of this potioy remain unchanged. <br />IC CG 20 153 1.13 97 APPROVED A83 IX)FORM <br />I I t' 710 Sh C 0, y <br />1)';`f1MY City Attorney <br />