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POLICY NUMBER: 601757268 COMMERCIAL GENERAL LIABILITY <br />Integra Ellis Group / Ellis Group Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED- OWNERS, LESSORS OR <br />CONTRACTORS (FORM B) <br />This endorsement modifies insurance provide the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the declarations as applicable to <br />this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the schedule, but <br />only with respect to liability arising out of your completed operations performed for that insured. <br />Coverage provided to additional Insured's under this endorsement is primary and other insurance maintained by the additional <br />insured's is deemed to be excess and shall not contribute with this insurance. <br />Additional Insured Endorsement: <br />"City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on <br />this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance <br />as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and <br />noncontributory." <br />CG 20 10 11 85 Copyright, Insurance Services Offices, Inc., 1992 <br />