1999-0319_AYSO REGION 87_Insurance Certificate FILE No.335 03/19 '99 13:41 ID:BOLLINGER FOWLER FH7C 1y(�4b(U1t55 rHut c
ACORD� CERTIFICP^I I . OF LIABILITY IN URE _. , ;
FILE No.335 03/19 '99 13:41 ID:BOLLINGER FOWLER FPX:1yrJ4b U1i;SS FHUL
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POLICY NUMBER: CD05327586 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED--MANAGERS OR LESSORS OF
PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
1- Designation of Premises(Part Leased to You): City of San Juan Capistrano
2. Name of Person or Organization (Additional Insured): City of San Juan Capistrano
3. Additional Premium: nil
(It no entry appears above,the information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement,)
WHO IS INSURED(Section II)is amended to include as This insurance does not apply to:
an insured the person or organization shown in the 1. Any "occurrence" which takes place after you
Schedule but only with respect to liability arising out cease to be a tenant in that premises.
of the ownership. maintenance or use of that part of
the premises leased to you and shown in the Schedule 2. Structural alterations. new construction or dem-
and subject to the following additional exclusions: olition operations performed by or on behalf of
the person or organization shown in the Sched-
ule.
CG 20 11 11 85 Copyright. Insurance Services Office, Inc., 1984 0