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POLICY NUMBER: C'PS20S21 ;4 COMMERCIAL GENERAL LIABILITY <br />CG 20 1101 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 LABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You) <br />2. Name of Person or Organization (Additional Insuradr- <br />^_HE CITY OF SAN_A ANA, ITS OFFICERS, AGENTS, EMPLOYEES AIM VOLII>i':EERS AS <br />ADDITIONAL :NSO`RED <br />20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701 <br />3, Additional Preni SL0() <br />If no entry appears :above, the information required to complete this endorsement will be shown in the, Dec- <br />larations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in <br />the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part <br />of the premises leased to you and shown in the Schedule and subject to the 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 <br />or organization shown in the Schedule. <br />Neviewed by <br />c a rrTi!-a n <br />CG 2011 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 0 <br />