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Formin apart of <br />Policy Number: CBP 8283936 <br />Coverage Is Provided in GOLDEN EAGLE INSURANCE CORPORATION <br />Named Insured: <br />Agent: <br />AVT INC <br />NEW CENTURY INSURANCE SVS INC <br />Agent Code: 4292993 Agent Phone: (626)-300-9000 <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, ITS OFFICERS, EMPLOYEES, AGENTS, <br />AND REPRESENTATIVE PARKS, RECREATION AND COMMUNITY <br />SERVICES AGENCY <br />26 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />Description of: <br />Premises: �.w'�;Lr ji.;:r <br />fC FOFIA <br />___.,.C✓ i,p E. Sl.. OFt_ GK�_ <br />i ,tant City Attol"v <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />22123(01107) <br />INSURED COPY <br />