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<br />, <br /> <br />. . <br /> <br />, <br /> <br />POLICY NUMBER: PHPK108~ <br /> <br />":OMMERCIAL GENERALlIABIL <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 />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />City of Santa Ana <br />Community Development Agency (M-25) <br />Altn: Carla Thomkins - Mgmt. Aide <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />1. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown <br />in the schedule as an insured but only with respect to liability arising out of your operations or premises <br />owned by or rented to you. <br /> <br />APPROVED AS TO FORM <br />Y53 2/Z . <br /> <br />Laura ~)tllt Shet:dy <br />A~~.1StaUl CIty Ai.(u(l)~\ <br /> <br />CG 20 26 11 85 <br /> <br />Copyright, Insurance Services Office, Inc., 1994 <br /> <br />Page 1 of 1 <br />