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I1 <br />POLICY NUMBER:PHPK055497 <br />COMMERCIAL GENERAL UABIUTY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL UAZ31LITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />CITY OF SANTA ANA <br />ATTN: ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA, CA 92701 <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 />WHO IS AN INSURED (Section II) Is amended to irtolude 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 />CG 20 2S 11 85 Copyright, Insurance Services Office, Inc., 19a4 <br />