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0694804 GREAT AMERICAN ALLIANCE INS CO <br />301 E 4tratlee Offices <br />t . sat E ist r street CG 20 26 ( E d , 6 4 1 1 3} <br />� Af Cindrinatl ON 45202 -4201 <br />1 1 H E R 1 C A , X 513 ass 5000 ph P o 11 c y : PAC 5 1 5- 4 6- 8 0 08 <br />INSURANCE GROUP <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />chedule <br />me of Additional Insured Person(s) or Organization (s): <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS. <br />EMPLOYEES AND VOLUNTEERS, AND THE STATE OF CALIFORNIA, <br />ITS OFFICERS, EMPLOYEES, AND VOLUNTEERS <br />CITY OF SANTA ANA, WORKFORCE INVESTMENT BOARD <br />1000 E. SANTA ANA BLVD., STE. 200 <br />SANTA ANA, CA 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. SECTION If - WHO IS AN INSURED is amended to include as an additional insured the person(s) or <br />organization(s) shown In the Schedule, but only with respect to liability for "bodily injury," "property damage" <br />or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br />omissions of those acting on your behalf: <br />1. In the performance of your ongoing operations; 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 contract <br />or agreement to provide for such additional insured. <br />Copyright, ISO Properties, Inc., 2012 <br />CG 20 26 04113 (Page 1 of 2) I <br />EXHIBIT I ra9720(V20n) <br />