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<br />From:l<..atie Marr FaxlD: Page 4 of 4 <br /> <br />COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER: P_630_292BM836-TlL-08 ISSUE DATE: 12-17-08 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED-DESIGNATED PERSON <br />OR ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of person or organization: <br />THE CITY OF SANTA ANA <br /> <br />20 CIVIC CENTER PLAZA <br /> <br />SANTA ANA <br /> <br />CA 92701 <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 10 liability arising out of your acls or omissions. <br /> <br />CGT4911188 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />Page 1 of 1 <br />