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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER: I -660 -t 4300752 -TIL -1 t ISSUE DATE: 1 t -� 8-1 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 Person or Organization (Additions! Ensured): <br />CITY OF SANTA ANA <br />20 CIVIC CENTER. 8TH FLOOR <br />SANTA ANA CA 92702 <br />3. Additional Premium: 225 <br />(If no entry appears above, the infoRnalion required to complete this endorsement wiii be shown in the Declara- <br />tions as applicable to this endorsement.) <br />WitO iS AN INSURED (Section It) is amended to This insurance does not apply to: <br />include as sn insured the person or organization �, Any °occurrence" which 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 out of the owns► ship, maintenance or use of <br />that part of the premises leased to you and shown in 2. Structural alterations, new constnrction or demoil- <br />the Schedule and subject to the following additional tlon operatEons performed try or on behalf of the <br />exclusions: person or organization shown in the Schedule, <br />CG 20 11 01 913 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br />