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E <br />This Endorsement changes the Commercial Liability Policy. PLEASE read it carefully. <br />This endorsement, effective on 01/06/02 at Standard time shown in the Policy Declarations, forms a part of Policy <br />Number 3YZ126451-01 issued to Choc V. Le #0375057 by Hull & Company (Specialty Nat). <br />Endorsement Number 001 <br />This endorsement modifies insurance provided for under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />ADDITIONAL INSURED - BLANKET FORM <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person(s) or organization(s) shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to <br />you. <br />Name of Person or Organization <br />City of Santa Ana Parks & Recreation Dept <br />PO Boa 1988 <br />Santa Ana, CA 92702 <br />All certificates of insurance holders you have agreed to include as an insured prior to an "occurrence" or <br />offense. <br />(8-97) <br />APPROVED AS TO FORM <br />Laur heedy <br />Deputy City At may <br />