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<br />" <br /> <br />, <br /> <br />POLICY NUMBER: PHPl j!307 <br />FEEDBACKFOUNDATIO~ <br />COMMERCIAL GENERAL LIABILITY <br /> <br />""" <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PlEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL L1ABIUTY COVERAGE PART. <br />SCHEDULE <br /> <br />Name of PelliOn or Organization: <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />ATTN: CARLA THOMPKINS <br />P.O. BOX 1966 <br />SANTA ANA, CA 92702 <br /> <br />RE: Additional insured INith resptlCt to lllaims arising out of the operations end uees performed by or on behalf of the named <br />Insured, euoh Insurance as Is efIorded by thill policy is Primary and Is not ad<itional to or contributing with any other insurance <br />oarried by or for the benefrt of the additional insured's, with the exception of sole negligence or willful misconduct by the City of <br />Santa Ana, <br /> <br />(If no entry appears above, information required to Complete this endorsement will be shown In the Declarations as <br />applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) Is amended to Include as an insured the pelliOn or organization shown in the <br />Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or <br />rented 10 you. <br /> <br />.' CG20261185 <br /> <br />COpyright, Insurance ~ervlces Ofllce, Inc., 1984 <br /> <br />o <br /> <br />APPROVED AS 'lU ~ORrvl <br /> <br /> <br />Loura Sheedy <br />U~i" I> <.."'1'_ .0\. ft rney <br />