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<br />RPR-28-2004 10'04 <br /> <br />SANTA ANA POLICE DEPT <br /> <br />714 245 Bß94 <br /> <br />P,03 <br /> <br />,... <br /> <br />u <br /> <br />. <br /> <br />~ <br /> <br />THIS ENDORSEMeNT CHANGES THE POLICY. PLEASE ReAD IT CAREFULLY. <br />CG 20 10 1093 <br /> <br />ADDmONAlINSURED.;QWNERS. LESSEES OR CONTRACTORS (fORMS) <br /> <br />11I1S ellllclœmlllll modllle8lnwr¡r1C9- p~ under lhefollov.ing: <br />~CIAL GENEMLllARILITY COVERAGE PART <br /> <br />This tndorwml!1t c;1\an! e! the policy elh!ctive on Iht /nclplion date of 1118 policy IKIIfis ;II1O\/Itr d:118 is Indicllld belO\V. <br /> <br />1~"¡;::...:""g--.1:=:;- - - -----/--- <br /> <br /> <br />(-ICd~"",1 <br /> <br />SCHEDULE <br /> <br />Nam& of?ersOll or Organaaticn: <br />IHE CITY Of 5Al'ITA ANA. ITs OmŒKS.AOENTS. [MPLOYEEti Al'ID VOLlJ1-I'TI!US. <br /> <br />(If no .ntr¡ appearutlXI'ie. lnformallon requlrell to COmpIøW tIIiundorsernent"'¡U b9 shawn In the D8d~aIIon& aa <br />applicable 10 thI& endor&ement} <br /> <br />WHO IS AN INSURED (s.dion II) is amendld to Includ. . ~ iI1wrød ¡þ'!*W'I Q/' organIz;J1ion thown in Ih.. Sc:I1ød- <br />ul.. but only will! -pee! to Ir.bilily ari8i/IQI out of your ongoing a Ir8!IOne perfonnec Iortl\;lt In$U~. <br /> <br />X5/C1!>¿tf13!) <br /> <br />..... .---..- --- .. <br /> <br />.-- .... -.- <br /> <br />--.'.--..- <br /> <br />Copyri hl, InSur....c.. s.n.icu OffIcIO lac:... 1.* <br /> <br />TOTAL P,Ø3 <br /> <br />