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<br />Cathleen Forcueci Dance <br />Academy, Fullerton <br /> <br />1/2/2008 <br /> <br />COM\llERCIAL GENERAL LIABILITY <br />CG 2O:iI6fJ7 04 <br /> <br />POLICY NUMBER: PPS42823782 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL Y. <br /> <br />ADDITIONAL INSURED - DESIGNA lED <br />PERSON OR ORGANIZA liON <br /> <br />This endorsement modaies insurance provided under the folkMing: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br /> <br />Name Of Additional Insured PErson!sl 01'" OI'"aanizationlsl <br /> <br />Infonmation r""uired to CO!T'Olete this Schedule. a not sheWn above. will be shown in the Declarations. <br /> <br />Section II Wro Is An Insured is anended to in- <br />clude as an additional inslTed the personls I or c:r <br />ganizationls) shcNvn in the Schedule. but only with <br />respect 10 liability for 'bodily injlTY". "property dam- <br />age" or "personal and advertising injlTY" caused, in <br />wt-ole 0- in pa'l, by yoU' acts 0- omissions or the acts <br />or omiSSions of 1I1Ose acting on yolT behalf: <br />A. In the perfonmance of yolT ongoing "'Erations: 0- <br />B. In connection with YOlT p-emises owned by cr <br />rented to you. <br /> <br />CG LO :>6 fJ7 04 <br /> <br />CopYright. ISO Propemes, Inc. 2004 <br /> <br />Page 1 of 1 <br /> <br />o <br />