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POLICY NUMBER: BOP8516255 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT 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 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />D Aa ~ ~QRM <br />App'~S~ <br />LISA qty p,~torn y <br />pss\stant C <br />~k ~~ <br />~. <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule as an insured but only with respect to liability arising out of your operations or <br />premises owned by or rented to you. <br />CG 2026 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />