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<br />. POUt;Y NUMBER: 680-466r5A <br /> <br />')MMERCIALGENERAl 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 /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />CITY OF SANTA ANA, M25 <br />COMMUNITY DEVELOPMENT AGENCY <br />PO BOX 2988 M-25 <br />SANTA ANA, CA. 92702 <br /> <br />(If 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 with respect to liability arising out of your operations or premises owned by or <br />rented to you. <br /> <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS <br />ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN CONNECTION WITH THE NAMED INSURED. <br /> <br />Ai-f :;j\:...::.0 /\.5. TC) FOR.I'vl <br /> <br />--~_2L~ <br /> <br />,:~.:U; \: tt .(i.i>.::-eJy <br />/~.~...,;..;~~t ;;~ (:;ty ^ltcrt"}2~Y <br /> <br />Copyright, Insurance Services Office, Inc. 1984 <br /> <br />,Q. <br />G- <br /> <br />