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POLICY NUMBER: CP2574432 COMMERCIAL GENERAL LIABILITY <br />CO 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 />6Y�i;.1=11�1R� <br />1 _ Designation Of Premises (Part Leased To You): <br />2017 N Main St Santa Ana, CA 92706 <br />2. Name Of Person Or Organization (Additional Insured): <br />City of Santa Ana, its officers, agents, <br />employees and volunteers <br />Effective Date: 6/20/2012 <br />(If no entry appears above, the information required to complete this endorsement 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 only with respect to <br />liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the <br />following additional exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule. <br />CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 Of 1 <br />CERT NO.: 13846990 CLIENT CODE: 2MAGE SI.— Walley 8/13/2012 1:18:38 PH PagC 5 0£ 5 <br />