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r Vi5/27/2008 08:40 9494979830 <br />POLICY NUMBER: PHPK310637 <br />JOMLCAMP13ELLINSURAN PAGE 02/02 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 11 01 96 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br />PREMISES <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1, Designation of Premises (Part Leased to You$ d1XSguna Be ch� CA 92651.3035 <br />2. Name of Person or Organization (Additional Insured): City of Santa Ana <br />3, Additional Premium: Included <br />(if no entry appears above, the information required to complete this endorsement will be shown in the Declara- <br />tion as 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 <br />Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the <br />premises leased to you and shown in the Schedule and subject to the following additional exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, now construction or demolition operations performed by or on behan of the person or <br />organization shown in the Schedule. <br />CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 13 <br />