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Policy number: CSIEL01883-01 COMMERCIAL <br /> GENERAL LIABILITY <br /> CG 20 37 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) Location And Description Of Completed <br /> Or Organ ization s : Operations <br /> City of Santa Ana <br /> Risk Management Division <br /> 20 Civic Center Plaza,4th floor <br /> Santa Ana, CA 92701 <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> Section II—Who Is An Insured is amended to include as an additional insured the person(s) or <br /> organization(s)shown in the Schedule, but only with respect to liability for"bodily injury" or"property damage" <br /> caused, in whole or in part, by "your work" at the location designated and described in the schedule of this <br /> endorsement performed for-that additional insured and included in the "products- completed operations <br /> hazard". <br /> CG 20 37 07 04 <br /> © ISO Properties, Inc.,2004 <br />