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0 <br />COMMERCIAL GENERAL LIABILITY <br />Policy Number: PROU1952680 <br />Carrier: American Int'I Specialty Lines <br />Expires: 05/22/2003 <br />THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART: <br />SCHEDULE <br />Name of Person or Organization: <br />The City of Santa Ana, 20 Civic Center Plaza Santa Ana CA 92701, its officers, employees, agents, and <br />representatives. <br />PO Box 1988 <br />Santa Ana CA 92702-1988 <br />RE: City of Santa Ana's Community Development Block Grant <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respects to liability arising out of "your wore for that insured by or for you. <br />Any aggregate limits apply on a per project basis. <br />The Insurance afforded to the Additional Insured Is primary. If the Additional Insured has other Insurance <br />Which is applicable to the loss on an excess of contingent basis, the amount of the Company's liability under <br />this policy shall not be reduced by the existence of such other insurance. <br />APPROV Ell AS TO FORM <br />L ura"tAtw <br />DeputycY <br />CG 2010 1185 Copyright Insurance Services Off lee, Inc. 1984 <br />