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06/03/2004 11:03 949-833-0127 JOHN BURNHAM PAGE 04/04 <br />POLICY NUMBER: E0400197 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON or <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization <br />City of Santa Ana, its <br />officers, employees, agents <br />volunteers & representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />(as appl caryb a to this above. emem information required to complete this endorsement will be shown in the Declarations <br />WI 10 IS AN INSURED (Scotion II) 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 your operations or premises owned by or <br />rented to you. <br />