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<br />O~t 22 02 07:53a <br />10/21;/2002 15: 58 <br /> <br />Tllar;1 <br />I3l1CCff<!ELLA I NSLI<","CE ~ 17145552693 <br /> <br />p.3 <br /> <br />NO. 543 (;102 <br /> <br />POLICY NUMBER: CGL6B9731 <br /> <br />COMM!:RCIAL GENERA~ LIABILITY <br /> <br />THIS ENQORSEM!NT CHANGES THE: POUCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSUREn-OWNERS, LESSEES OR <br />CONTRAC1'ORS (Form B) <br /> <br />TlI/I endattement madifls$ inllLlrenC8 prOVldecl ,nder thil follOwing: <br />COMMERCIAL GENERAJ.I.I"al~ITY <br /> <br />Hem. of Pelwn or Ol'llnlzltlon: <br /> <br />SCHEDULE <br />CITY OF SANTA ANA, ITS OFFICERS, AOENTS & EMPLOYEES <br />CIO CAIi!OL YN FULLERTON <br />THE DEflOT OF SANTA ANA <br />1000 ~Ain SANTA ANA 13LVD. .108 <br />SANTA/INf<, CA 92701 <br /> <br />(If no entry IIppears above. information required to camplela this &ndorBement will be Ihown in the <br />OecIaralions as appllcaDle 10 In/a eftdOreemllftl.l <br /> <br />WHO IS AN INSURED (sectIOn IIlla llmenlhclto include al an inlured the pINIon or organization <br />shown In lilll SChetlUle, bill only wttn reapIClIO lIabKity arilin; oLII of yoLlr ongoing operations ptII'_ <br />formed for IhallnSLlrad. <br /> <br />PRIMARY WORDING INCLUDEP, <br /> <br />AP~T030RM <br />TI E l~w <br />Deputy City Attorney <br /> <br />CO,O 101093 <br /> <br />Copyrtghl. IneY''llnce SeNteN Ofrll;e, InC., 1982 <br /> <br />COlIifiCllla. ,e11 <br />