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POLICY NUMBER: PHPK043151 COMMERCIAL GENERAL LIABILITY <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 />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Community Development Agency <br />CDGB M-25 <br />P. O. Box 1988 <br />Santa Ana, CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />1. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown <br />in the schedule as an insured but only with respect to liability arising out of your operations or premises <br />owned by or rented to you. <br />Al'4'1~OVi;v' .ti> is i C:::,., <br />_~~ 3~~ <br />,,y <br />^ ~rorgey <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br />