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<br />.02~07(2005 17:36 <br />~2/~2/2~~5 1~:~2 <br /> <br />7146475304 <br />~1l~4711M6B <br /> <br />CITY OF SANTA ANA <br />flRIAN ROBiN5il'1 <br /> <br />PAGE 03 <br />PAGE 62 <br /> <br />follGy Number: 0,280769119 <br />'fBIS ENDOa8EMENT CHANGES THE pOUCV. PLEASE READ 1'1' t.:AREFl.rLLY. <br />ADDITIONAL lN8UlUD - MANAGERS OR. u;$iSOkS OF PREMISES <br /> <br />'I1,i. cllclu..cmcntmgdlfie. inIUTOo"" provlni1n IInder i~. followinll.: <br /> <br />COMMERClAL OB'NEML LlABJUTY COVEFJ\O~ PART. <br /> <br />Sdcdule <br />t. N..m~ ..rp"..en 4r OrtlllD.,.,..ln. (AddlllallBllnnrmlt. ClTY 01' SANTA ANA, ITS <br />OFFICERS, EMPLOnEs, ,lGENTS, VOL\Jl'ITEJ;RS AND REPRESENTATIVES <br /> <br />(linG '''''Y "Welm above. the iDfurmllion rcqulnd to cOllIplcte this endorsemC1lt will be shown in the <br />deolaraliOlls as appllc.able to tI1is cndonemcnt.) <br /> <br />wHO IS AN 1N5UR20 (9'011." 11) is om""d.d 10 ;""lode.. on in.\lll'Cd the penllln or OT,IIInlzatian s~own <br />in the Schdule but only with .....pec:t 10 IID11ilily arb;ng aUl oft~o OWTlIlT$hlp, Mainlllnil1ee or USI of t~e.t <br />pert oftNJ JlTIl1lise.t 1000cd to you ""d .hawn in the s~ed1Ile and .ubJo<ttXl the following lliIdltional <br />exeluslon,' <br /> <br />This ;nAUlllnce does not "l'1'1y to: <br /> <br />I. Any "occulTenCl:~ V!~;oh 1IIlaos place a!tor)"lu CCll6CllO be II tenlllr In lhat premises. <br />2. SlNet~",1 ,,\lemill"" [lOW constnl~lion or domo\1l1oD apt1mQas porf"""",d h)1 you or an bel1alf of <br />!be pc,,," or OrpnizatiC1l shOW1lln tho Seh~dule. <br /> <br />C02oIl0196 <br /> <br />CQ\lYriil1l, Insurance SmviCC5 Office, Inc., 1994 <br /> <br />Page 1 of! <br /> <br />A.PPROVED AS TO FORM <br /> <br />~}~edY <br /> <br />City Attornev <br />