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POLICY NUMBER:6809B01177716 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />FAI <br />l N i • , . <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of person or organization: <br />Gty of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />WHO IS AN INSURED (Section 11) is amended to Include as an insured the person or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your accts or ornissions. <br />CG T4 91 1188 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 <br />