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POLICY NUMBER: 2005-03026 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: CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND <br />VOLUNTEERS <br />(If no entry appears above, information requiretl to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule <br />as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. <br />::i0~3'3~ A6 'tC3 t' <br />a_ 1~ / <br />Z. -~` <br />LISA E. STOI~t'~~ <br />assistant C~tY AttorncY <br />r ~~- K <br />~` <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 <br />