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POLICY NUMBER: PHPK884646 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURE® - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Organ Izattorts <br />City of Santa Ana <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section 11 — Who Is An Insured is amended to In- <br />ofude as an additional insured the person(s) or or- <br />ganizations) shown In the Schedule, but only with <br />respect to liability for "bodily injury" "property dam- <br />age" or "personal and advertising injury" caused, In <br />whole or In part, by your acts or omiss€ons or the acts <br />or omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 <br />APPROVED AS TO FORM <br />LISA E. STbRCK <br />Assistant City, Attorney <br />0180 Properties, Inc.,2004 Page 1 of 1 <br />p �# <br />IN <br />