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<br />5EP-02-2004 15:34 FROM:RICHARD50N GROUP <br /> <br />503 749 5884 <br /> <br />TO:714 547 5311 <br /> <br />P.4'4 <br /> <br />L <br />POLICY NUMBER' D209LOOO72 <br /> <br />V <br />COMMERCIAL GENERAL UABILlTY <br /> <br />THIS ENDORSEMENT CHANCES THE POllCY. PLEASE READ IT CA.REFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />Thi~ cndMscmcnt modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br /> <br />Name or Person or OrgunÎ7:a'tion; <br />THE CITY OF SANTA ANA <br />P.O. BOX 1988 <br />SANTA ANA, CA <br /> <br />(if no tOfry app~jrS ùbovt, ¡nformalinn required 10 l'.nmplctc this Cnd(lrscmcnt will be shown in lhe Oc:l'Iaralion~ <br />as applicable to thlscnùorscmcnt.) <br /> <br />WIIO IS AN INSURED (Se<:lÍon II) IS amended 10 Include as no ,nsured the person or organizallon shown in rhe <br />Schedule itS 4n insured bur only with rè:Sp~Cl to liabilIly arising out of your Optrahons or pr~mises owned by or <br />rented to you. <br /> <br />)LffV2ß ciy J Ú <br /> <br />CG 20 26 II 85 <br /> <br />Copyríghl, Insurancc.5ervices Of1ìcc, loc,.1984 <br /> <br />0 <br />