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<br />POLICY NUMBER: EOL5281394-00 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED-OWNERS, LESSEES OR <br />CONTRACTORS (Form B) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization; <br /> <br />The City of Santa Ana <br />20 Civic Center Piaza <br />Santa Ana CA 92701 <br /> <br />(If no entry appears above. information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work' for that insured by <br />or for you <br /> <br />~?~/~ <br /> <br />CG 20 10 11 85 <br /> <br />Copyright. Insurance Services Office, Inc., 1984 <br /> <br />Certificate # 9293 <br />