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<br />SEP. 8.2005 2:46PM
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<br />TRC A~TON 949 753 0111
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<br />NO. 2961 P.4
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<br />COMME~C'AL GENERAL LIABILITY
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<br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE ReAD IT CAREFULLY,
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<br />BlAII<IT \'lHERE ~~IRID BY IIlUTTEN COI'lTRACT
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<br />ADDITIONAL INSURED - DESIGNATED PERSON OR
<br />ORGANIZATION
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<br />POliCY NUMBER:
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<br />This endor.omenl mlldifies insurance provided under the following:
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<br />['i" I: ; C"O,M, ~ER,"',., C."IAL,G, ,eNE~L ~IABIUTY COVERAGE PART.
<br />; I 1'111 r: ' , SCHEOULE
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<br />, I Nrmeofrerir" ~rOrga1InliIO";
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<br />" The City ,of Santa ,~a. ~ Civic Center Plaza, santa Ana, California, 97201; its officers, El'Jl)loyees,
<br />ii' agents, volunteers ai1d representatives
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<br />(If no entty appears above, information reqvlred 10 complete t~is endorsement will be shOwn in the Oedsrcllions 21S
<br />applicable 10 this 8'1dorsemenl.) . .
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<br />WHO IS AN" INSU~E~ (SJ.Clio~ II) is amended 10 include 215 an insured the per50n or organization shoWn in the
<br />Sl:,lhlldu 'e,!as".., /I, ,in$,",u,rlid., br'l only with re$pect to liability ari$ing out of YOLJ' ope'ltions or premises ow"~d by or
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<br />\ PPROVl-!,D AS 'tp FOR~
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<br />':' '~la' nL City Attorney
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<br />Sopy.ighl, Insurance Service$ Office, Inc., 1984
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