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3: 10/;6/2004 Time: 11:21 AM To: (A 19494542429 <br />POLICY NUMBER: 72SBAGQ4974 <br />Prom: /Armstrong8obitaille Page: 005-005 <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 following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana Parks, <br />Parks, Recreation 6 Community <br />Services Agency/ Dolores Ramos <br />888 W. Santa Ana Blvd. Suite 200 <br />200 P.O. Box 19B8 M-23 <br />Santa Ana, CA 92702 <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 <br />the Schedule, but only with respect to liability arising out of your operations or premises owned by or <br />rented to you. <br />The City of Santa, its officers, agents, employees, representatives <br />and volunteers are added as Additional Insured per endorsement <br />attached. This coverage is primary and any insurance maintained by the <br />additional insured shall not contribute. <br />CG 20 26 11 85 1 q <br />