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POLICY NUMBER NDA0791984 COMMERCIAL GENERAL LIABILITY <br />The Comdyn Group, Inc. CG 20 26 11 85 <br />569 Rustic Hills Or 8/7/2019 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />FSe1:IgQ1114 <br />Name of Person or Organization: <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 <br />(If no entry appears above, Information required to complete this endorsement will be shown In the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an Insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by <br />Of rented to you. <br />REVIEWED & APPROVED <br />By RISK MANAGEMFNT MVISION <br />AU 16 2 19 <br />FRA CINE R. VILLAREAL <br />CG 20 26 11 85 <br />saas2au I com n Inc 19-20 Apprwat Certificate I ,rill Norton 1 e/v/xais 12:02:49 Pe lem9 I Page 2 of 2 <br />