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<br />.. . ~-" <br /> <br />. <br /> <br />. <br /> <br />POUCY NUMBER: PL 5574310-01 <br />POUCY TERM: 06/24/2004 - 06/01/2005 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />ADDITIONAL INSURED ENDORSEMENT <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, its officers, agents, employees, consultants, special counsel & <br />representatives. <br /> <br />WHO IS AN INSURED (SECTION II) is amended to include as an insured the <br />person or organization shown in the schedule as an insured but only with respect to <br />liability arising out of your operations or premises owned by or rented to you. <br /> <br />For: Overland, Pacific & Cutler, Inc. <br /> <br />CG 20 10 11 85 <br /> <br />Copyright, Insurance services office Inc. 1984 <br /> <br />1'\ i"-'~J . _ 1 <br />. ...'... II I~!J /l ') <br />., n; FORNI <br />~,~f'.~/L <br />A . ~ !/i""Ci'l <br />- Si:ilSla 't''''' <br />. I Ljly At/ofr;cy <br />