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<br />. <br /> <br />~ & Frtc1r1nsurance Agency, InC. <br /> <br />This Endorsement changes the Commercial Liability Policy. PLEASE read it carefully. <br /> <br />This endorsement, effective on 08/01/2000 at Standard time shown in the Policy Declarations, forms a part of Policy <br />Number lYG332560C-99 issued to Peter Mangosing #0377819 by General Star Indemnity. <br /> <br />Endorsement Number 001 <br /> <br />This endorsement modifies insurance provided for under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVER.-\.GE PART <br /> <br />ADDITIONAL INSURED - BLANKET FORM <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person(s) or organization(s) 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 /> <br />Name of Person or Organization <br /> <br />City of Santa Ana <br />Its officers, employees, agents, volunteers and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />All certificates of insurance holders you have agreed to include as an insured prior to an "occurrence" or <br />offense <br /> <br />(8-97) <br /> <br />380 Stevens Avenue, First Floor. Solana Beach. CA 92075-2068 <br />(858) 259-5800 . Fax (858) 259-6069 . License 0872756 <br /> <br />~ <br />