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• GL d. 20 11 <br />This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise staled 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 S Countersigned by <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 />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 />Designation of Premises <br />(Part Leased to Named Insured) <br />2100 S. FLOWER <br />MEMORIAL PARK <br />SANTA ANA, CA. <br />GL 20 11 07 66 <br />SCHEDULE <br />Name of Person or Organization <br />(Additional Insured) <br />CITY OF SANTA ANA, ITS <br />OFFICERS, EMPLOYEES AND <br />AGENTS <br />C/0 CITY CLERK <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA. 92702 <br />Annual Premiums <br />Bodily Property <br />Injury Damage <br />Liability Liability <br />INCL. INCL. <br />