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GJ Policy No. 92—CK—W574-9 8637—FB85 CMP-4795A <br />Page 1 of 2 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CMP-4795.1 ADDITIONAL INSURED — DESIGNATED PREMISES <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Policy Number: 92—CK—W574-9 <br />Named Insured: <br />GOLD COAST APPRAISALS INC <br />10016 PIONEER BLVD STE 110 <br />SANTA FE SPGS, CA 90670-6217 <br />Name And Address Of Additional Insured Person Or Organization: <br />CITY OF SANTA ANA HOUSING SERVICES M-37 <br />C/O TERRY GILBRETH <br />20 CIVIC CENTER PLZ #M-37 <br />SANTA ANA, CA 92701-4058 <br />Interest Of Additional Insured: <br />CONTRACTOR OF SERVICES <br />Location Of Premises: <br />10016 PIONEER BLVD STE 110 <br />SANTA FE SPGS, CA 90670-6217 <br />This endorsement provides only those coverages indicated by an "X" below: <br />SECTION I <br />❑ Coverage A — Buildings <br />When a Limit Of Insurance is shown in the Declarations for Coverage A — Buildings for the premis- <br />es described above, any person or organization shown in the Schedule is included as an additional <br />insured, as interests may appear, but only with respect to coverage provided under Coverage A — <br />Buildings for that premises described above. <br />❑ Coverage B — Business Personal Property <br />When a Limit Of Insurance is shown in the Declarations for Coverage B — Business Personal Prop- <br />erty for the premises described above, any person or organization shown in the Schedule is included <br />©, Copyright, State Farm Mutual Automobile Insurance Company, 2913 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />CONTINUED <br />