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GALLAGHER HEALTHCARE Fax:?13-$65-6488 Nov 6 16:14 <br /> <br />P. 04 <br /> <br />[:'OLICY NUMBER: 61 ~ b"v"5523 COMMERCIAL GENERAL LIABILITY <br />CEANGE NUMBER: 001 <br /> <br /> THIS ENDORSEMENT CHANGES THE POMCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br /> ORGANIZATION <br /> <br />...-.2 <br /> <br />This endomemenl modifies thsumnce provided under the following: <br /> COMMERCIAL GENERAL LIABILITY coVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name a~ Panmn or Or~m~tkm: <br /> <br /> City of Santa Aha, it's c[£icera, agarics, employees, and volunteers <br /> <br />(1! no ontly appears above, information required ~o complete ~is endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is ameaded to include ~s an insured the person or organization shown in the Schedule <br />as an insured but only with respect to liabilh'y arising out of your operations or premises owned by or rented to you. <br /> <br />CG 20 26 11 85 Copy~ght, Insurance Services Office, Inc., 1984 <br /> <br /> <br />