Laserfiche WebLink
POLICY NUMBER: PHPK1081 ,;OMMERCIAL GENERAL LIABIL, <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 LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Community Development Agency (M-25) <br />Attn: Carla Thomkins - Mgmt. Aide <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <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 />APPROVED AS TO FORM <br />/G `-'/Z _ <br />Laura :ilia Speedy <br />A,,istaur Cuy Aiiu'n,` <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br />