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Frs~m: Cha~'tnan Cert Request At Chapman Insurance FaxID: Chapman Associates To: Lucy Flores <br />POLICY NIUMBER:20t)70d575 <br />Vietnamese Community of Orange County <br />~~a:~= ; t..... > <br />COIitIMI'cFiCIAL GEtWt:RAL >.lABtt_ITY <br />CG 2k 25 t)7 DA. <br />TH9S EWDGRSEMENT CHANGES THE RClLICY. IPLEASE REAl7 lT' GAR'EFUi.i_ `;'. <br />ADDITIONAL INS4~REQ -- QESI~GNATEQ <br />PERSON OR OR~GANI~ATION <br />This endorsement matiifres insurance provided under the tollawinp: <br />GQMMERGIAL GENERAL LIABiI~TY COVERAGE PART <br />SCHEDULE <br />__ _ ---- <br />Marne Of Addiliiorral Insured IPersan(s) dr Orgarpizntiants) <br />Any person ar organization that you are required tQ add as are additional insa~re{i t,n th-is policy, ~,-;der <br />a vvrltten contract or agreement cunrerrtly in efM•act, ar becoming effe+ct3ve during the terrT~ ot` #I'~is policy.. <br />and f~dr`vWhicJt a certificate of insurance naming such person ar arg2,nizatian a~. additional i~nsur~= -: ?~a=. <br />been issued but only with respect fo their liability arising out of their requirements far certaiia ire rterm- <br />artce placed upor4 you, as a nonprofit arganizati~on, inconsideration for funding ar financial can-rir::._- <br />tions you receive from them. The additional insured statu$ vviil nQi bye afforded with fe~pec~~ ;~- Ii-:,~u Gt~, <br />arising out of ar refated to your activities as a real estate manager far that person oar wrga~n;~aficr <br />City of Santa Ana, its ofi9cers, employees, agents, volurrbeers and representatiaes <br />20 Civiic Center Pfaza <br />Santa Ikroa, CR 92701 <br />thLs Schedule, ~' rat shown alao,ree, wii he shown iti <br />Section II -Who is An Msured is amended to In• <br />elude als an additional insured the person(s) ar or- <br />ganization(sj spawn in the Schedule, lu,t only with <br />respect to liarxllty fir ^bodiry le~ury", "property dam- <br />age" ar "personal and advertising injury" caused, in <br />whale ar in part, hY your acts or omissions ar the acts <br />or orntsslons of those eding on your behaff•. <br />A, !n the pe#arenance of your ongoirtq op~crafians; o~r <br />B. In cannectian wish your premises ov~rn+ed toy or <br />rented to you. <br />ns <br />CG 20 2fi 0704 ~ ISO Properties, Inc., 2CiU4 'a{ip ~ •, <br /> <br />