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Policy Number: 201401143DO <br />Named Insured: Human Options <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Additional Insured Person(s) or Organization(s) <br />The City of Santa Ana, its officers, employees, agents and volunteers and representatives <br />Information required to complete this Schedule, if not shown above will be shown in the Declarations. <br />Section 11 — Who Is An Insured is amended to include as <br />an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability for <br />"bodily injury ", "property damage" or "personal and <br />advertising injury" caused, in whole or in part, by your acts <br />or omissions or the acts or omissions of those acting on <br />your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or rented <br />to you. <br />0 <br />�\,�- <br />CG 20 26 07 04 Copyright ISO Properties, Inc. 2004 Page 1 of 1 <br />