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POLICY NUMBER: 3XZ126451 -02 COMMERCIAL GENERAL LIABILITY <br />INSURED: STKD Club 0374688 January 13, 2003 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED -- MANAGERS OR LESSORS OF PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You <br />City of Santa Ana <br />2. Name of Person or Organization (Additional Insured): <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />(called 'additional insured:) shown in the Schedule but only with respect to liability arising out of <br />the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule <br />and subject to the following additional exclusions: <br />This insurance does not apply to: <br />1. Any 'occurrence' which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, new construction or demolition operations performed by or on behalf of <br />the person or organization shown in the Schedule. <br />APPROVED <br />,e.. <br />2011 11 85 ��r <br />Includes copyrighted material of Insurance P6&J &s Efic %T4EC, ik4 <br />