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NOTICE; THESE POLICY FORMS AND THE APPLICABLE RATES ARE <br /> EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK <br /> INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND <br /> RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK <br /> INSURANCE LAW AND REGULATIONS, <br /> ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION <br /> Named Inaurnd Indorsement Number <br /> comcw;t Corporation <br /> Pofloy Symbol Policy Number Policy Period Effoctive Date of Endorsement <br /> XSL G4893044A 12/01/2024 to 12/01/2025 12/01/20.24 <br /> Issued By.tNamo or Insurance Company <br /> ACE American insurance Company <br /> Insert the policy nunihor,The remainder of the informallan is to be completed only when this endwoment is inc ad subsequent to the preperstlon of the policy, <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> EXCESS COMMERCIAL GENERAL LIABILITY POLICY <br /> SCHEDULE <br /> Namo of Person or organization., <br /> City of Santa Ana, Its City Council, officers,officials, employees, agents, and volunteers <br /> A. Section 11—Who Is An Insured is amended to Include as an additional insured the person(s) or <br /> organizations)shown to the Schedule, but only with respect to Ilabillty for"bodily injury" "property <br /> damage"or"personal and advertising Injury"caused, In whole or in part; by your acts or omissions or the <br /> acts or omissions of those acting on your behalf: <br /> 1, In the performance of your ongoing operatioris; or <br /> 2. In connection with your:premises owned by or rented to you. <br /> However: <br /> 1. The Insurance afforded to such additional Insured only applies to the extent:permitted by law; and <br /> 2. if coverage.provided to the additional insured is required by a contract or agreement, the Insurance <br /> afforded.to such additional insured will not be broader than that which you are required by the <br /> contract or agreement to provide for such additional insured. <br /> X5-6W25b(04113) Includes copyrighted material of Insurance Services Office, Inc„with its permission. Pagel of 2 <br /> Class code:2-14057 <br />