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1 0 <br />POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br />PHPK748817 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana, its officers, employees, agents and representatives are additional named insureds with re- <br />spect to liabilities arising out of the performances of the services of the Named Insured. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or <br />rented to you. <br />With respects to claims arising out of the operations and uses performed by or on behalf of the named insured, <br />such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insur- <br />ance carried by or for the benefit of the additional insureds. <br />Subrogation is waived as regards the Additional Named Insured. <br />APPROVED .kS TO FORM <br />LISA E. STORCK <br />Assistant City Attorney <br />CG 20 2611 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 ?