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01/19/2007 11:46 6059559535 <br />POLICY NUMBER: PSAIW0164-2 <br />ARROW INSURANCE PAGE 02/02 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />ADDITIONAL INSURED .DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />city of Santa Ana, its officers, agents and employees <br />(If no entry appears above, information feWhIed to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown <br />in the Schedule as an insured but only with respect to liability arising out of your operations or premises <br />owned by or rented to you. <br />CG 2026 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />