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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PREFERRED CONTRACTORS INSURANCE COMPANY <br />RISK RETENTION GROUP, LLC <br />COMMERCIAL GENERAL LIABILITY POLICY <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS (FORM B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person(s) or Organization(s); Location(s) of covered operations; Additional Insured(s) Address: <br />The City of Santa Ana, it's officers, employees, agents, and representative <br />(If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />A. Section II -Who Is An Insured is amended to include as an additional insured the <br />persons) or organization(s) shown in the Schedule, but only with respect to <br />liability for "bodily injury," "property damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your behalf <br />In the performance of your ongoing operations for the additional insured(s) at the <br />location(s) designated above. <br />Except as set forth above, all of the terms, conditions and exclusions of this policy apply and remain in effect. <br />Policy No.: PCA5017-PC265602 Preferred Contractors Insurance Company <br />Risk Retention Group, LLC <br />Date: 07/25/2018 27 North 27th Street, Suite 1900 <br />Billings, Montana 59101 <br />Time: 12:01 a.m. By: <br />Authorize3 Representative <br />4oe �a5 <br />END PCIC 24 10 07 <br />