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POLICY NUMBER: CP2151225B 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 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): <br />2017 N Main St Santa Ana. CA 92706 <br />2. Name Of Person Or Organtzatlon (Additional Insured): <br />City of Santa Ana, its officers, agents, <br />employees and volunteers <br />Effective Date: 4/24/2011 <br />(If no entry appears above. the information required to complete this endoreemsnt will be shown In the Declarations as applicable to this <br />endorsement) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown In the Schedule but cwWy with respect to <br />liability arising out of the ownership, maintenance or use of that part of the promises leased to you and shown in the Schedule and subject to the <br />following additional exclusions: <br />This Instirancer does not apply to: <br />1. Any 'occuronce' which takes place after you cease to baa tenant in that premises. <br />2_ Structural akerstions. now construction or demolition aperadona performed by or on behalf of tie person or organization shown in the Schadule_ <br />Co 20 11 01 96 Copyright. Insurance Services Office, Inc., 1994 page 1 Of 1 <br />Cet2 Mo.. ...i1331 Q.ZCrr t9oE. [MAGI ince —.1.y •/Ql/➢ell 10.]1:1! AIr YA<j� o! <br />