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<br />RPR-28-2004 1O:O4 <br /> <br />SRNTA ANA POLICE DEPT <br /> <br />714 245 8094 <br /> <br />P,03 <br /> <br />. ,... <br /> <br />" <br /> <br />. <br /> <br />c <br /> <br />THIS ENDORSEMeNT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />CG 20 10 1093 <br /> <br />ADDmONAL INSURED.;QWNERS, LESSEES OR CONTRACTORS (FORM' B) <br /> <br />nlis endorsement modifies insurarlœ pl'Q1/klQd under !he following: <br />C()~CIAL GENERAL LIABILI1Y COVERAGE PART <br /> <br />This endorsem8l1t change.S the policy elhlctive on the inception date of lIIe policy unlfi~ ¡mother dale is indicsled below. <br /> <br />Eador5emenl,efftd;..e PoIiey No- , <br />4I112Ø84- . _."n.. --. '1'7'1'\, 6.11"- '"' ""'" T.!SBr\K9226 - - -_._-- .- ,.. '- ...- <br />Named-Insured Counlelsigneá by' <br />GENERAL LEARNING ClJMA 1ES <br /> <br />...-,.-. <br /> <br />(_i¡çdJlc~"') <br /> <br />SCHEDULE <br /> <br />Name of Persœ or Organizlltion: <br />THE CITY Of SANTA ANA, ITS OffiCEKS,AOfNTS. [MPl.QYE.ES 1\1'10 YOLUNTI!I!I!.S. <br /> <br />(If no entJy apþeara abOVe, Informallon requirelllo complete this endorsement wiD be shown In !he Dec:lanJIions as <br />applicate to this endor&ernenl} <br /> <br />WHO IS AN INSURED (Section II) is amenllld \0 Inciude ¡IS ¡In ¡n.¡urad thlt perwrI QI' Organízil!ion shown in Ihl! Schild- <br />ule. but only with respect to liability aritling 01.11 of your ongoing operallOns performed for tl\;lt in$I)~, <br /> <br />¡l!5/Uf'ðI3/S <br /> <br />..p -- ..- --. <br /> <br />'--"'.--..- <br /> <br />---.""""-"__-On.."'" <br /> <br />Copyr;gM, InsLlianc:e. $entices OffICC lac... 1.~ <br /> <br />TOTRL P,IZI3 <br />