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<br /> <br /> <br />COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER: I-680-4429R083-ACJ-10 ISSUE DATE: 06-29-10 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED-DESIGNATED PERSON <br />OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Name of person or organization: <br />CITY OF SANTA ANA <br />IT'S OFFICERS, AGENTS AND EMPLOYEES <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988-M12 <br />SANTA ANA <br />CA 92702 <br />SCHEDULE <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in-the <br />Schedule as an insured but only with respect to liability arising out of your acts or omissions, <br /> <br />CG T4 91 11 88 Copyright, Insurance Services Office, Inc., 1984 <br />Page 1 of 1