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0.1113167-A <br />Sierra Cybernetics Inc. (Ed. 01igs) <br />PorAff CO CopumlmanN von. A'An• PoliC $l 034949260 <br />THIS EN1LORSSMENT CHANGES THE PC UCY. PLEASE READ IT DARSFULLY. <br />This endorsement modifies Insuraroe provided under the following: <br />BUSINESS ACCOUNT PACKAGE POLICY SU&NEES LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name of Person or Organization: <br />THE CITY OF SANTA ANA, ITS OFFICERS, nIPL6YEFS ,AQENTS & <br />REPRESENTATIVES <br />20 CIVIC CENTER DRIVE <br />SANTA ANA, CA 92702 <br />(If no entry appears above, Intormetian required to complete this endarsernent will tae shown in the Declarations as <br />applicable to this endorsennent.) <br />WHO IS AN INSURED ($eGUon C.) Is omended to inolude as an insured the person or organization s>' own in the Schedule <br />as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. <br />G-1 IC,157-A Mams NFAWTWm arensurance Wrvrcu Mo, inch, vMM p"Ission. Page 1 ar 1 <br />(fid. 01My 0*1rV4 kMnWFX &FAIAM C7NW, h1W., 1904 <br />