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<br />'" <br /> <br />POLICY NUMBER: 6992718 <br /> <br />COMMERCIAL <br />GENERAl UABIUTY <br />CG20261185 <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 UABlUTY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or OrganIZation: The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA92701 <br />Their respective officers, employees, agents, volunteers and <br />representatives are named as additional Insureds. <br /> <br />(If no entry appears above, j"foIl1l3tion required \0 COh'pIete lhis endorsement will be sholNn in the <br />Declarations as applicable \0 this endorsement) <br /> <br />WHO IS AN INSURED (Section II) is amended \0 include as an insured the person or aganization <br />sholNn in the Schedule as an insured but only with respect \0 Iiabl&ly arising out of your operations <br />or premises owned by or rented \0 you. <br /> <br />CG 20 261185 <br /> <br />@ Insurance Services Office, Inc., 1984 <br /> <br />APPROVED AS 'fO FORM <br /> <br />;%3 'Z/3 <br /> <br />~'~.:..)l,,~aul,. i...-il). h.ttul.aey. <br />