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ti. <br />POLICY NUMBER: PHPK088626 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 providod under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or' Organization: <br />THE CITY OF SANTA ANA ITS OFFICERS AGENTS <br />AND EMPLOYEES <br />1000 E. SANTA ANA BLVD., #200 <br />SANTA ANA, CA 92701 <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 II) 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 arising out of your operations or premises owned by or <br />rented to you. <br />�7PgpVED <br />Ag TO FO---'.. <br />TORCK <br />LISA E• s Attorney <br />Assistant City <br />�af3 <br />C <br />CG 20 26 11 65 Copyright, Insurance Services Office, Inc., 1984 <br />CO 'd 'ON XH.d Wd Lb:10 OEM VOOE—OE-100 <br />