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<br />.02/07,2005 17:35 <br />eile2/2~e5 1,:,2 <br /> <br />7145475304 <br />~<l~<l7<lM88 <br /> <br />CITY OF SANTA ANA <br />I!I<:rAN ~8!NSIJN <br /> <br />PAGE 03 <br />PAGE ~2 <br /> <br />policy Number: Q,2B0769119 <br />'fHIS ENDOlUlEMENT CHANGES mE poUCV. PLEASE READ 1'1' (;A!U:ltlLLY. <br />ADDITIONAL J.N'SUlUD - MANAGERS OR u:SSOkS OF PREMISES <br /> <br />Thi. cndu..cm<:ntm..dlfi.. ii1I\lTf.".' provltlnri ""der ih. followin-.: <br /> <br />COMMERCIAL GB'NBRAL LlABlLITY COVE.RAO~ PART. <br /> <br />St.llcdul. <br />t. Namu .rp....n or Q..al:uotinn (Addltlonallnnrall: CITY 01' SANTA ANA, ITS <br />OFF1CIRS, El'o'IPLOVlIS,AGENTS, VOl.Ul'1TURS AND REPRESENTATIVES <br /> <br />(JiM '''''Y aJlllellB above. !be illlillllUllion l'IlIu,"d IQ OOl1ll'lcte this OTldorscmotlt will be ,hoWII in the <br />4elllarwOIlS as applicable to this endorI4mOftt.) <br /> <br />wHO IS AN INSURED (tl<l~le" II) is OJ1'lI'l1dcd 10 i"dllde s,"n in~lll'Cd the 1'8"'on or O1)I,IlIlZ3Iloll shown <br />in the SGhd~le but only with respec:t U1l1abilily ati;;ng alll afllle ownel'!;hlp, Mainlllnlllce or use of that <br />Plrt ofNlIrwmisea I_cd 10 you and .hown in the Sohtdul. and .ubjeclllllhe following additional <br />IIXCluslons' <br /> <br />Thi. inllUtB_ does not R[l\'lly Ia. <br /> <br />I. Any "OCCUlTence" which 1aIce. place a!tor)"lll c__ to be Illeftllll11n that premisS!. <br />2. SWC'lu,..l n\~""" "ew consml,,~on or clomolltloD .,.,1lI~a. porfOll1l1e~ 1')' ~ nr on betlalf of <br />tho PIII"QIl or orpni:zatimI shown In the Seb~ule. <br /> <br />CO 20 11 01'16 <br /> <br />Copyript, Insurance Smvicc! Office, I""., 1994 <br /> <br />Page I of! <br /> <br />'\PPROVED AS TO FORM <br /> <br />~( .,~, <br />_ "f") <br />. i! ra Stitf i1eedy <br />~'it\' Attornev <br />