Laserfiche WebLink
POLICY NUMBER: CPV0032803 <br />THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY <br />CG2010 (11/85) <br />ADDITIONAL INSURED, OWNERS,LESSEES OR CONTRACTORS <br /> (FORM B) <br />THIS ENDORSEMENT MODIFIESINSURANCE PROVIDEDUNDER THEFOLLOWING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />NameofPersonorOrganization: <br />20Civic Center Plaza <br />Santa AnaCA92701 <br />The City of Lancasteritselectedofficials, officers, employees and volunteersare included <br />as additional covered parties, but only insofar asthe operations underthis contract are <br />concerned. <br />(Ifno entry appears above,information required to complete thisendorsementwillbeshownin <br />the Declarations as applicableto thisendorsement) <br />WHO ISAN INSURED(SECTIONII)isamended to includedasan insured, the person or <br />organization shown in the schedule, but only with respect to liability arising out of “yourwork” <br />forthatinsured by or foryou. <br />PRIMARY INSURANCE <br />Such Insurance asisafforded by this endorsementfortheadditional insured shall applyas <br />Primary Insurance. Any other insurance maintained by the additional insured or itsofficers and <br />employeesshallbeexcessonly and not contributing with the insurance afforded by this <br />endorsement. <br />CG 2010 11 85 <br /> <br />