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-04 14:27 FROM:C & P ISURANCE SERVICES ID:5E2919164259 PAGE 2/C <br />POLICY NUMBER: <br />PPS 34632555 <br />COMMERCIAL GENERAL LIABILITY <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 foliowicg: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />ageCit oopl�ta Ana, Santa Ana Co rminity DeveloMent Agency its officers <br />yees and volunteers. The insurance Provided by this endorseMe-,t <br />is Primary insurance and is not additional to or contributing with any other <br />insurance carried by or for the benefit of the additional insureds. <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 11) is amended to include as an insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability ansing out of your operations or premises owned by or <br />rented to you. <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />Page 1 of 1 0 <br />