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<br />FILE No.353 11/07 '01 15:40 '~: <br />'-' <br /> <br />FAX: <br /> <br />PAGE 3/ 4 <br /> <br />"-tI <br /> <br />Additionallnsured - Desipated Person or Orlanlzation . CG 20 26 11 85 <br />Policy Amendmel'll GeJlernl /..iabllity <br /> <br />Insured; Ol'llll4 Pel CIU't Cel1IIll"$, Inc. <br />Producer: A1buucr Basso p., Orosz <br />Sclledlll4l <br /> <br />Policy Number: MZG071SS613 <br />iiffective Caic: IO/{)1/2001 <br /> <br />Name (If Pmoo or Orpnl.ilon: <br />CitY of SlIlIa Ana <br />Police Pepanm~al . AtlIl: Sat, Doyle Smith <br />60 Civic Cemer PllIZa <br />Sana Ana, CA \l27ml <br /> <br />(If no el\lljl appeillS above, informalion reqUire(\ 10 eomplele IlIlI ~adorselllCul will be shown In tho Dcclanuions <br />as applicable to this ell46rUlIlllllI.) <br /> <br />Wbo is an IlIlllll'ed (SocliOll m is llmcndccl \0 Inclllclc <br />A' an insured the perSOll or or.lIlizalian II10wn in the <br />Schellule as an Insured bill omy willi respeClIO liAbility <br />arisiD& 0111 of Y01lT operaliona or promises owne<l by or <br />rcme(\ to you. <br /> <br /> <br />CG202ll1 1.Q5 <br />Containa Cop\lflghlad MOlerlal of Inao..""" Se,..I... OffICII, Ino" li80l <br />