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<br />POLICY NUMBER: <br /> <br />660)c"9X708A01 <br /> <br />COMM~IAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa Ana - CDBG M-25 <br />Community Development Agency <br />P.O. Box 1988 M-15 <br />Santa Ana, CA 92702 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br /> <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 the liability arising out of your operations or premises owned by or rented to you. <br /> <br />It is further agreed that the insurance provided by this endorsement is primary. Other insurance afforded to the Additional <br />Insured shall apply as excess of, and does not contribute. <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />aura Sheedy <br />DepUty eh)' AtlOfllll , <br /> <br />CG20261185 <br /> <br />Copyright, Insurance ~ervices Office, Inc., 1984 <br />