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05-10-'05 11:36 FROM -ALL '. INSURANCE 9167840158 <br />r <br />T-973 P002/002 F-30q <br />POLICY NUMBER: 2005-02312 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: THE CITY OF SANTA ANA, ITS' OFFICIALS, OFFICERS, AGENTS, EMPLOYEES, <br />AND VOLUNTEERS <br />(If no entry appears above, information required to complete this endorsement Will be shown in the Declarations as <br />applicable t0 this endorsement.) <br />WHO 15 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 or rented to <br />you. <br />APPROVED AS TO FORM <br />Laura Stitt Sheedy <br />Assistant City Attorney <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 <br />