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<br />~. <br /> <br />""" <br /> <br />'wi <br /> <br />INSURED: <br />POLICY NUMBER: <br />EFFECTIVE DATE: <br /> <br />Wiseplace, a Ca Corp <br />PHPK039141 <br />01101/03 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED-DESIGNATED PERSON OR 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 Community Development Agency M-25, its officers, agents, <br />employees and volunteers <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in <br />the Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or <br />organization shown in the Schedule as an insured but only with respect to liahility arising out of <br />your operations or premises owned by or rented to you. <br /> <br />APPROVED AS 10 FO/{I".! <br /> <br />CG 20 26 I I 85 <br /> <br />