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<br />'. <br /> <br />ENDO R.SEMENT <br /> <br />*l'OLICYN1JMBER: 76 (l2~il. /0.:).:) Ooc-,) <br /> <br />*INSURED COMPANY NAME <br /> <br />) /7< CUI:>?/" lcciln <br />r <br /> <br />THIS ENDORSEMENT CHANC:ES THE POLlCY, PLEASE READ IT CAR &:FULLY, <br /> <br />ADDITIONAL INE:URED - DESIGNATED PERSON or <br />ORGANIZA TION <br /> <br />This endorsement mo" lifies insurance provided under the following: <br /> <br />COMMERCIAL (iENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Amil a 0 d its Officers, Agents, Employees and <br />Volunteers are named as additional insured as respects their <br />interest in connectiNI with the named insured. <br /> <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations a: ipplicabJe to this endorsement.) <br /> <br />WHO IS AN INSURED (S,etion II) is amended to include as an insured the person or <br />organization shown in the S.,hedule, but only with respect to liability arising out of your <br />operations or premises OWIil ( by or rented to you. <br /> <br />IT IS AGREED THAT Ai' '! INSURANCE MAINTAINED BY THE CITY OF <br />SANT A ANA SHALL ilrl'L Y IN EXCESS OF, AND NOT CONTRIBUTE WITH, <br />INSURANCE PROVIDIW BY THIS POLICY. <br /> <br /> <br />Ag,"', s...,,~, .__... ~ ~ <br /> <br />CG 2010 11 85 <br /> <br />r.~-. <br />o f~ <br />f>tl p.,.S 't <br />f,.,;';<"i-ra\1fE'2JY!l <br />C0. :,;OI'C't<- <br />, , IS!' t. S !'ttO((\C~ <br />... (\tC1t'i ) <br />p,ss'r' {J <br />\ J- {7 <br /> <br /> <br />(2 J 8)C SAMPLE - Addilional hlsured willi Pri JllfylNon-Contribu1ing Language Added <br /> <br />