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<br />1': ¡ T----m"~rt- Ii <br /> <br />. I' i 06/1'4/2aa4 'is: 93 <br />: : ') '0 ., <br /> <br />2129864713 <br /> <br />LEGAL DEPT <br /> <br />PAGE a4le5 <br /> <br />¡ <br />, <br /> <br />"'..---/ <br /> <br />POLICY NUMBER: ISA H07850451 <br /> <br />COMMERCIAL BUSINESS AUTO LIAS. <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />! I !i i <br /> <br />, <br />COMMERCIAL BUSINESS AUTO LIABILITY COVERAGE PART. <br />I ¡ ,¡ <br />! !I <br />~ I ; <br /> <br />Name of Person or Organl2ation: <br /> <br />Schedule <br /> <br />THE CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES, VOLUNTEERS AND <br />REPRESENA TIVeS <br /> <br />.....-./' <br /> <br />, ¡ : <br /> <br />(If no entry appears above. information required to complete this endorsement will be <br />shown In the Declarations as applicable to this endorsement.) <br /> <br />, ,WHO IS AN' INSURED (Section II) is amended to include as an insured the person or <br />" ,.,', ii' .1',. 'I' organi~tion, shown In the Schedule as an insured but only with respect to liability <br />arisirg: out 9r your operations or premises owned by or rented to you. <br />I . , " . <br /> <br />D' " <br />. fO COj~"" <br />Í'ì'ROVEP x' ' ' <br /> <br />A- ~~.~I;J._-- <br />_tL(J~' ,¡ ,.. , ., .)û~:t. <br />. . "':'1\) ..""l <br />J:\...",p...I0' <br /> <br />-' <br /> <br />CG 20 26 11 85 <br /> <br />! I ; <br /> <br />CGzaaa "OðiCMJ"+~ <br /> <br />:1 <br /> <br />. <br />