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This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein. <br />(The following information is required only when this endorsement is issued subsequent to preparation of policy.) <br />Endorsement effective Policy No Endorsement No. <br />Named Insured <br />Additional Premium $ <br />Countersigned by <br />GL 20 11 <br />(Ed. 07 66) <br />(Authorized Representative) <br />This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: <br />COMPREHENSIVE GENERAL LIABILITY INSURANCE <br />MANUFACTURERS AND CONTRACTORS LIABILITY INSURANCE <br />OWNERS, LANDLORDS AND TENANTS LIABILITY INSURANCE <br />SMP LIABILITY INSURANCE <br />STOREKEEPERS INSURANCE <br />ADDITIONAL INSURED <br />(Premises Leased to the Named Insured) <br />It is agreed that the "Persons Insured" provision is amended to include as an insured the person or organization designated below, but only with respect <br />to liability arising out of the ownership, maintenance or use of that part of the premises designated below leased to the named insured, and subject to the <br />following additional exclusions: <br />The insurance does not apply: <br />1. to any occurrence which takes place after the named insured ceases to be a tenant in said premises: <br />2. to structural alterations, new construction or demolition operations performed by or on behalf of the person or organization designated below. <br />SCHEDULE <br />GL 20 11 07 66 <br />Annual Premium, <br />Bodily <br />Property <br />Designation of Premises <br />Name of Person or Organization <br />Injury <br />Damage <br />(Part Leased to Named Insured) <br />(Additional Insured) <br />Liability <br />Liability <br />2100 S. FLOWER <br />CITY OF SAD ?T^ ASIA, ITS <br />INCL. <br />MEMORIAL PARK <br />OFFICERS, EMPLOYEES AND <br />SANTA ANA, CA <br />AGENTS <br />C/O CITY CLERK <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />GL 20 11 07 66 <br />