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COMMERCIAL GENERAL LIABILITY <br /> POLICY NUMBER: BIP-B8622449-25-42 ISSUE DATE: 09/09/2025 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br /> PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation of Premises (Part Leased to You): <br /> 7816 E TORIN ST <br /> LONG BEACH CA 90808--314 <br /> 2. Name of Person or Organization (Additional Insured): <br /> CITY OF SANTA ANA, ITS CITY COUNCIL,OFFICERS,OFFICIALS,EMPLOYEES,AGENT <br /> 20 CIVIC CENTER PLAZA (M-25) <br /> P.O BOX 1988 <br /> SANTA ANA CA 92701 <br /> 3. Additional Premium: INCLUDED <br /> (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- <br /> tions as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section II) is amended to This insurance does not apply to: <br /> include as an insured the person or organization 1. Any "occurrence" which takes place after you <br /> shown in the Schedule but only with respect to liability cease to be a tenant in that premises. <br /> arising out of the ownership, maintenance or use of 2. Structural alterations, new construction or demoli- <br /> that part of the premises leased to you and shown in <br /> the Schedule and subject to the following additional tion operations performed by or on behalf of the <br /> exclusions: person or organization shown in the Schedule. <br /> CG 2011 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br />