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<br />-- un -- - <br /> <br />, <br /> <br />POLICY NUMBER: PAS360681UJ <br /> <br />Cc. <br /> <br />JERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREfULLY. <br /> <br />ADDITIONAL INSURED--DESIGNA TED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Ana æ1d the <br />Çamunity Redevelo¡:nrent Agency <br />of the City of Sòata 1\na <br />20 Civic Center Plaza 1>125 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or <br />rented to you, <br />Jldditional Insureds Continued: 'Ihe City of Santa 1\na. romty of orang~ and its <br />elected and'appoÐJted officers, agents, enployees, boards, represe1'ltat1.ves and <br />'\IOlunteers are naIÆrl as aðditi.onal insureds <br /> <br />PRIMARY CLAUSE: THE INSURANCE AFFORDED BY THIS POLICY SHALL BE PRIMARY AND ANY <br />INSURANCE MAINTAINED BY THE ADDITIÓNAL INSUREDS SHAtL BE EXCESS <br /> <br />APPROVED AS TO FORM <br /> <br />1:~17 <br /> <br />Deputy City Attorney <br /> <br />Copyright, Insurance Services Office. Inc. 1984 <br /> <br />** TOTAL PAGE.02 ** <br />