Laserfiche WebLink
<br />.. .... I <br /> <br />POLICY NUMBER PPS 34632555 <br />Orange COllnty Bar Foundation <br /> <br />313 N. Birch Street <br /> <br />COMMERCIAL GENERAL LIABILITY <br />CG20261185 <br />4/12/2005 <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 und.er the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />The City of Santa Ana <br />Santa Ana Community Development <br />Agency <br />Attention: Carla Thompkins <br />P.O. Box 1988 <br />Santa Ana <br /> <br />CA 92702 <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 the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by <br />or rented to you. <br /> <br />APPROVED AS TO FORM <br /> <br />Y3~f1;,J.!'z <br />'Laura Stitt eedy <br />Assistant City Attorney <br /> <br />CG20261185 <br />