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,Jun -04 -02 09:50A LIFESIGNS,INC.'a 323 -550 -4275 <br />POLICY r1UMBER, PNPK017078 COMMERCIAL GENERAL. LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL, INSURED - DESIGNATED PERSON or <br />ORGANIZATION <br />This endorsement modifies insurance provided under the fallowing: <br />COMMERCIAL. GENERAL UAB!LITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of San" Aaa <br />20 CIWO Canter Plaza <br />P.O. BOX 1906 <br />Santa Ana CA 97!01 <br />(if no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 17) is amended to include as an insured the person or orgoni ation shown in <br />tnc Schedule, but only with respect to 9;Wity arising out of your operations or premises owned by or <br />rented to you. <br />the City of Santa Ana it ittsluded as an additional Insured on a primary, oon•Contributory basis with the eXCFyben of sole <br />t+eyilgence andfor wi ffutl misconduct on Lfie part of the Additional Insured. <br />CG 20 26 11 86 Copyright, ! nsurance Service Office, 1r , 1984 <br />P-02 <br />