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<br />~EP-~~-2002 07:35 PM <br /> <br />091201200: 12:17 FAX &04 82~98 <br /> <br />'-' <br /> <br />P.02 <br />~V021003 <br /> <br />PAC <br /> <br />PeLICY NUMBER: 8&02eV243212 - 0 <br /> <br />COMMERCIAL IlE~IEA'\L LIABH.rrv <br /> <br />THIS ENDORSEMENT CH,o\NGES TH~ POUCV. PLEASE READ IT CAflEFlI LL ~ . <br /> <br />ADDITIONAL INSURED - DESIGNATED PERS()I~1 OR <br />ORGANIZATION <br /> <br />Th'" .ndornment mollifi.. InlUllne. provided unde, the follolNing, <br /> <br />COMMERCIAL GENERAL LIABILrTY COVERAGE PART. <br />aCHIiDULE <br /> <br />NIIM of Pl!I.-.o~ 0' Orpnltatlon, <br />City of Slnta Ani. It I officII'. employ;.., agl"tl, <br />volunteer. Ind rep,esentltivU <br /> <br />(If no tlmy 'PP"" above, i"ICII'mllion required to complsts thl& eneo..',"ent will be Dhn~n In thl) <br />Oeclerlltlona.. IPPlioobl. to thl. endor..~ent.1 <br /> <br />WHO IS AN INSURED IS.ctlon III Is ~1T1.nd.d to include II an inlured the pellon or o,glnlzatlon II ,~wn In thO <br />SCnadule .. In Inlurld but only Wi1h rllpeot to liabilitY .rising 0111 of your operltionl or Ilremi,u 0 ""he,j bV ot <br />rented to YOII. <br /> <br />APPROVED AS TO FORM <br /> <br />LaurtDLfY <br /> <br />Deputy City Attotney <br /> <br />CG 20 :lB 11 lI6 <br /> <br />Copyright, 'I'\lur.ncllilNlceI Office, 'no" 1984 <br /> <br />L! <br />