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COMMERCIAL GENERAL LIABILITY <br /> POLICY NUMBER: Y-630-5Y374343-TCT-25 ISSUE DATE: 05-06-25 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br /> AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION <br /> PERMITS OR AUTHORIZATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> State Or Governmental Agency Or Subdivision Or Political Subdivision: <br /> THE CITY OF SANA ANA, ITS CITY COUNCIL BEACH, OFFICERS, OFFICIALS, EMPLOYEES, <br /> AGENTS, AND VOLUNTEERS. <br /> PROVISIONS <br /> The following is added to SECTION II m WHO IS AN 2. This insurance does not apply to: <br /> INSURED: <br /> a. "Bodily injury," "property damage", "personal <br /> Any state or governmental agency or subdivision or injury" or "advertising injury" arising out of <br /> political subdivision shown in the Schedule is an operations performed for the federal <br /> insured, subject to the following provisions: government, state or municipality; or <br /> 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" included <br /> operations performed by you or on your behalf for within the "products-completed operations <br /> which the state or governmental agency or hazard". <br /> subdivision or political subdivision has issued a <br /> permit or authorization. <br /> CG D2 69 04 16 b 2016 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office,Inc.,with its permission. <br />