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Formina a Dart of <br />Policy Number: CBP 9572743 <br />Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION <br />Named Insured: Agent: <br />MASTER LANDSCAPE & MAINTENANCE ELMCO INSURANCE <br />INC <br /> Agent Code: 4294058 Agent Phone: (714)-973-1436 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />AMENDMENT OF OTHER INSURANCE CONDITION - DESIGNATED <br />PERSONS OR ORGANIZATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the <br />endorsement. <br />A. The following is added to provision a. Primary Insurance of paragraph 4. Other insurance under SECTION IV- <br />COMMERCIAL GENERAL LIABILITY CONDITIONS: <br />However, when the person or organization shown in the Schedule of this endorsement has been added as an <br />additional insured to this Coverage Part by attachment of an endorsement, we will not seek contribution from <br />the "person's or organization's own insurance" provided that: <br />(1) You and such person or organization have agreed in a written contract that this insurance is primary and <br />non-contributory; and <br />(2) The "bodily injury" or 'property damage" occurs, or the 'personal and advertising injury' is committed, <br />subsequent to the execution of such contract. <br />B. For the purposes of this endorsement the following is added to SECTION V -DEFINITIONS: <br />"Person's or organization's own insurance' means other insurance: <br />a. That covers liability for damages arising out of the premises, ongoing operations, products or completed <br />operations described in the Schedule of this endorsement; and <br />b. For which the person or organization shown in the Schedule of this endorsement is designated as a <br />Named Insured. <br />SCHEDULE <br />Name and Address of Person Or Organization: <br />CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS <br />AND VOLUNTEERS <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />Description of: <br />Premises: <br />SANTA ANA PARK DISTRICT 4 <br />22123 (01107) <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />INSURED COPY <br />04/02/2010 9572743 NN146931 0704 PGDMO600 J01575 GC3HPPN 000000.57 Page