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POLICY NUMBER: 66RPGO000004934600 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 <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 />Facilities Ref_ Maria R. Vigil DBA: <br />2. Name of Person or Organization (Additional Insured): Ria Vigil Group Fit <br />City of Santa Ana,. its officers,agents and employees Ref: CP# 552 <br />Parks, Recreation and Community Services Agency <br />Attn:. Silvia Cuevas <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />3. Additional Premium: None <br />(If no entry appears above. the information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule <br />but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you <br />and shown in the Schedule and subject to the following additional exclusions: <br />-his insurance does not apply to - <br />1. <br />o:1. Any "occurrence which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations. new construction or dernolition operations performed by or on behalf of the person or <br />organization shown in. the Schedule. <br />CG 20 11 01 96 Copyright, insurance Services Office, Inc., 1994 Page 1 of i <br />