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<br />....... <br /> <br />....., <br /> <br />. " <br /> <br />POLICY NUMBER:PHPK055497 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICy. PLEASE READ IT CAREFULLY. <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 <br />ATTN: ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA, CA 92701 <br /> <br />Of no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as 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 <br />Schedule as an insured but only w~h respect to lIabil~ arising out of your operations or premises owned by or <br />rented to you. <br /> <br />CG 20 26 11 85 <br /> <br />Copyright, Insurance ~ervices Office, Inc., 1984 <br />