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<br />'- <br /> <br />...,,; <br /> <br />.' <br /> <br />I <br /> <br />POLICY NUMBER; PHPK029l06 <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 modlfoes insurance provided under the following; <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Pel'llon or arganiDtlon; <br />SANTA ANA WORK CENTER <br />CITY OF SANTA ANA <br />lOOO E. SANTA ANA BOULEVARD, SUITE 200 <br />SANTA ANA, CA 92701 <br /> <br />(If no entry appears above. Information required to complete this endorsement wnl be shown in the Declat'dtlons <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 wllh respect to liabnny arising out of your operations or premises owned by or <br />renled to you. <br /> <br />APPROVED AS IU H)Rl\J <br /> <br />~L0 <br /> <br />Laura Sheedy <br />Deputy City ^ ttorney <br /> <br />CG20261185 <br /> <br />Copyright, Insurance !!ervlces Office. Inc., 1984 <br /> <br />LI <br /> <br />EO/EO 'd <br /> <br />1910186508 'ON X\ij <br /> <br />'O~ ~ INI~ON\i Ul:i LE:OI 03M GOOG-90-^ON <br />