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POLICY NUMBER: 680-0661W261-18-42 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: 01/12/2018 <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 PORT <br />SCHEDULE <br />Name of person or organization: <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br />WHO IS AN INSURED (Section II) is amended to include as an insurea 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 />3_-22 701e <br />u <br />CG T4 91 1188 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 <br />