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POLICY NUMBER: 3XZ126451-02 <br />INSURED: STKD Club 0374688 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> January 13, 2003 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED--MANAGERS OR LESSORS OF PREMISES <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br /> SCHEDULE <br /> <br />1. Designation of Premises (Part Leased to You <br /> <br /> City of Santa Ama <br /> <br />2. Name of Person or Organization (Additional Insured): <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ama, CA 92702 <br /> <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 /> <br />WHO IS AN iNSURED (Section II) is amended to include as an insured the person or organization <br />(called 'additional insured:) shown in the Schedule but only with respect to liability arising out of <br />the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule <br />and subject to the following additional exclusions: <br /> <br />This insurance does not apply to: <br /> <br />Amy 'occurrence' which takes place after you cease to be a tenant in that premises. <br />Structural alterations, new construction or demolition operations performed by or on behalf of <br />the person or organization shown in the Schedule. <br /> <br />20 11 11 85 <br /> <br /> APPROVI~D AS TO FORM <br /> ~e~edy <br />Includes copyrighted material of Insurance <br /> <br /> <br />