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0694804 GREAT AMERICAN ALLIANCE INS CO <br />_ <br />Administrative Offices <br />301 E <br />30141h Street CG 20 26 (Ed.04/13) <br />Clncinnntl OH 45202-4201 <br />rTRT.:ATAMERICAN. 513 369 5000 ph Policy: PAC 515-46-80 09 <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 />cnecule <br />ame of Additional Insured Person(s) or Organization(s): <br />HE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />.MPLOYEES AND VOLUNTEERS, AND THE STATE OF CALIFORNIA, <br />TS OFFICERS, EMPLOYEES, AND VOLUNTEERS <br />:ITY OF SANTA ANA, WORKFORCE INVESTMENT BOARD <br />000 E. SANTA ANA BLVD., STE, 200 <br />ANITA ANA, CA 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. SECTION II - 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 />J <br />Copyright, ISO Properties, Inc., 2012 <br />CG 20 26 04/13 (Page 1 of 2) <br />