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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER: IRGS2055 <br />INSURED: Paulus Engineering, Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. <br />PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />The endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />Name of Person or Organization: <br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, its officers, employees. <br />agents, volunteers & representatives <br />Re: Emergency Sewer Repairs and/or Water Repairs for and in the City of Santa Ana <br />(If no entry appears above, information required to complete this endorsement wil! be <br />shown in the Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or <br />organization shown in the Schedule, but only as respect to liability arising out of `your <br />work" for that insured by you or for you. <br />CG 2010 11 85 Copyrich:. Insurance Services Office, Inc., 1984 <br />APPROVED AS TO FORM 7 <br />Laura Situ oaecuy <br />Ass,,cant City Anornev <br />