Laserfiche WebLink
AM <br />HISCOX <br />Policy Number: <br />Named Insured: <br />Endorsement Number: <br />Endorsement Effective: <br />UDC-5202016-CGL-22 <br />Get CPR Certified <br />18 <br />July 12, 2022 <br />Hiscox Insurance Company Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — MANAGERS OR LESSORS OF <br />PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You): 7325 Finevale Drive <br />Downey,CA 90240 <br />2. Name of Person or Organization (Additional Insured): City Of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana,CA 92701 <br />(If no entry appears above, the information required to complete this endorsement will be shown in the Declara- <br />tions as applicable to this endorsement.) <br />WHO IS AN INSURED (Section ll) is amended to include as an insured the person or organization shown in the <br />Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the pre- <br />mises leased to you and shown in the Schedule and subject to the following additional exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or <br />organization shown in the Schedule. <br />b, R6kM&A"Rfl7ift <br />ss RtY1EWED6 AYYROV®0Y: <br />'��a�C�r: I 707e P«ak <br />Risk Mma9 enxrn ❑micilAi de <br />CO 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 <br />