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8894804 GREAT AMERICAN ALLIANCE INS CO <br />Admwstrative Offices <br />— / mns4th Street CG 20 28 (Ed.04/13) <br />-, <br />— o7/"� ox 45202-4201 <br />;RE�/�w�*mu� Po| | c : PAC S 1 5'46-88 OS <br />INSURANCE GROUP <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modif�mu insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />uoneuuxe <br />am* of Additional |neured Person(s) or Organization (s): <br />'HE CITY OF SANTA ANA. ITS OFFICERS, AGENTS, <br />:MPLOYEES AND VOLUNTEER@, AND THE STATE OF CALIFORNIA, <br />TS OFF|CER3, EK4PLDYEES, AND VOLUNTEERS <br />'|TY OF SANTA ANA. WORKFORCE INVESTMENT BOARD <br />808 E. SANTA ANA BLVD., STE. 200 <br />/ANTA ANA. CA 92782 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. SECTION [| - WHO IS AN INSURED is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedu|e, but only with respect to liability for "bodily injury," "property damage" <br />or "personal and advertising injury" oauaad, in vvhu|e or in pad, 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 />Z. 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 m contract or mQneemant, the insurance <br />afforded to such additional insured will not be broader than that which you are required bythe contract <br />or agreement to provide for such additional insured. <br />Copyright, ISO Properties, Inc., 2012 <br />ICG 20 26 04113 (Page 1 of 2) <br />