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SB -300113-C <br />(Ed. 0611) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement madifies Insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name Of Person Or Organization: <br />CITY OF SANTA ANA <br />Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. <br />The following is added to Paragraph C. Who Is An insured: <br />4. Any person or organization shown in the Schedule is also an insured, but only with respect to "bodily injury,' or <br />"property damage" or 'personal and advertising Injury" caused, in whole or In part, by your ads or omissions or the <br />acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with <br />your premises owned by or rented to you. <br />SB -300113-C uxtudes aopyrrghta0 materiel of tns<aenco services Cxftye. Inc.. wth Its perm Page 1 of 1 <br />('Ed. 06111) Copyrtghf, tnsamnce SenAm Off oC; Inc. 2aa� <br />i <br />Rk=MN VVIE-f,') CB t <br />- Nm UNCE HEREDA A (P(;," OP <br />