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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 II) 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 />•N neneaenovm <br />Tort Dkraaa <br />Ad, Muu9mnrtaeVolaae <br />CO 20 1101 96 Copyright, Insurance Services Office, Inc., 1994 <br />