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FROM :CYSC FRX NO. :909 -924 -9689 <br />R�+9- 30 2010 12: 1BPM P3 <br />POLICY NUNtBER: pl- IpK616083 COMIMERCIAL GENERAL LIABILITY <br />CG 30 2! O7 04 <br />THIS ENDORSEMENT CHANCiEB THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />Thffi endorsement rrwdfies Insurance Provides untlar ins fOUOwing: <br />COMMEJiCIALGENERAL LIABILITY COVERAGE PART <br />SCt4EDULE <br />City oP Santa And <br />i3aeflon N — IlYlle Is An Insured Is amentled to In- <br />elude as an atldfllonal insured tfre paraon(s) or of <br />yanaation(s) mown !n fire Setrodute, but only wtlh <br />respect to UatKli/y for 'bodNy BNr7'. 'property dam- <br />age" or 'personal and advartis[rry injury" caused. in <br />whole or in part, by your acts or ornisaions or the sots <br />or orrrisebns of those aotirry on your behalf: <br />A. In the performance of your orgolrry operations; or <br />B. In connecllon with your prerYliaes owned by or <br />rerrted fo you. <br />CG 20 26 07 W � 180 PYopartles, Ina, 2004 Pays 1 of 7 O <br />