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<br />. <br /> <br />POLICY NUMBER: D003Q00058 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON or <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Ana, Attorney's <br />Office (Mail Station 29) <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <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 /> <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 /> <br />Re: Antech Diagnostics, 17672 - A Cowan Avenue, Suite 200, Irvine, CA <br /> <br />92714. Certificate Holder is named as Additional Insured as respects <br /> <br />General Liability, per the CG20261185 endorsement attached. <br /> <br />"c)v",,) AS TO FORM <br /> <br />---:Z22?::.? .2 / C <br /> <br />',:ltlJ~. .'}[;It Sheedy <br />:'>I:>l<.\ ',I C'.\ y~1tornc) <br /> <br />CG 20 26 11 85 <br />