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<br />POLICY NUMBER: 2005-03026 <br /> <br />COMMERCIAL 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 />SCHEDULE <br />Name of Person or Organization: CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND <br />VOLUNTEERS <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 />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 liability arising out of your operations or premises owned by or rented to you. <br /> <br />.\:>V 1'>6 ~.~;:J..- <br />'. ~ jJ:Y" <br />ffi' ~ - -------s/'~':'< <br />~~t.,.J r-.\-I"" <br />- . ,\0:><' C\\~", <br />--<2,;'1\ <br />',-, ;.,' <br /> <br />~ <br /> <br />0+ <br /> <br />~) <br /> <br />CG20261185 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />Page 1 of 1 <br />