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883.300113.0 <br />(Ed.00111) <br />THUS ENDORSEMENT CHANGE8 THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />ft nl madiftes tnsuuance PMVWed under the f*Mng: <br />SUSINErSSOWNERS UABIL"Y COVERA®8 FORM <br />BOND= <br />CITY OF SANTA ANA <br />IAI= tion required to eomptete this ftedute, if nal shown on fti endormment wilt be shown <br />The k0owing Is added to ParaWA C. Who to An Insured: <br />4. Any person or OW61219011 shaven In the Sdedude is also an Insured, but only with reaped to "body injury," os <br />Imp* damage" or "pamnal and adveAWng injurr caused, In whato or In part, by your ads at omlastons at the <br />acts or omWhns of those ading on your behatl in the p0am no of your ongofny operations or to omneaiton with <br />your pm1w owned by or mnled to you. <br />89-M11113-0 t toi copy Ated aaststtef of G+ oo 8aMoos tom. tuts. wdh ets aarir ctcn Page 1 of 1 <br />(Ed.OWI 1) c yosta,a�ure�a+son aa�e.aw.2an2 <br />REVIEWED BY: EUNICE HEREDIA (PG.R OF 1'4 <br />