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Policy No.:72SBANU6283 Named Insured: Labelle Marvin, Inc. <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 />Publics Works Agency H 36 <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the declaration as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or <br />organization shown in the Schedule as an insured but only with respect to liability arising <br />our of your operations or premises owned by or rented to you. <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />