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<br />POLICY NUMBER: I_660_1430C752-TIL-09 <br /> <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: 12-31-08 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br />PREMISES <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />1. Designation of Premises (Part Leased to You): <br /> <br />2. Name of Person or Organization (Additional Insured): <br />CITY OF SANTA ANA <br /> <br />20 CIVIC CENTER, 8TH FLOOR <br /> <br />SANTA ANA <br /> <br />CA 92702 <br /> <br />3. Additional Premium: <br /> <br />160 <br /> <br />(If no entry appears above, the information required to complete this endorsement will be shown in the Declara- <br />tions as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to <br />include as an insured the person or organization <br />shown in the Schedule but only with respect to liability <br />arising out of the ownership, maintenance or use of <br />that part of the premises leased to you and shown in <br />the Schedule and subject to the following additional <br />exclusions: <br /> <br />This insurance does not apply to: <br /> <br />1. Any "occurrence" which takes place after you <br />cease to be a tenant in that premises. <br /> <br />2. Structural alterations, new construction or demoli- <br />tion operations performed by or on behalf of the <br />person or organization shown in the Schedule. <br /> <br />CG 20 11 01 96 <br /> <br />Copyright, Insurance Services Office, Inc., 1994 <br /> <br />Page 1 of 1 <br />