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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER: I -660 -t 4300752 -TIL -i 1 ISSUE DATE: 1 i -i 8 -t O <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF _ <br />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 />Z. Name of Persan or Organization (Additional Insured): <br />CITY OF SANTA ANA <br />20 CIVIC CENTER. 8TH FL00R <br />SANTA ANA CA 92702 <br />3. Additional Premium: 225 <br />(!f no entry appears above, the in(om►ation required to complete this endorsement will be shown in the Declara- <br />tions as applicable to this endorsement.) <br />1/1fFtO tS AN INSURED (Section It) is amended fo This insurance does not apply to: <br />include as an insured the person or organization �, Any °occurrence° wh[ch takes place after you <br />shown in the Schedule but only with respect to liability cease to be a tenant in that premises. <br />arising ouf of the ownership, maintenance or use of 2. Structural alterations, new construction or demol!- <br />that part of the premises leased to you and shown in lion operations performed by or on behalf of the <br />the Schedule and subject to the following additional person or organization shown in the Schedule. <br />exclusions: <br />CG 20 'i t 01 813 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br />