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<br />POLICY NUMBER: GL 2057297647 A/S COMMERCIAL GENERAL LIABILITY <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 />Pdame of Person or Organization: <br />THE CITY OF SANTA ANA, ITS OFFICERS, AND EMPLOYEES. THIS INSURANCE <br />IS PRIMARY AND NON CONTRIBUTORY TO ANY OTHER INSURANCE HELD BY THE <br />ADDITIONAL INSURED. <br />(if no entry appears above, information required to complete this <br />endorsement will be shown in the Declarations as applicable to this <br />endorsement.) <br />WHO ?S AN INSURED (Sectior. II) is amended to include as an insured <br />the person or organization shown in the Schedule, but only with <br />respect to liability arising out of "your work" for that insured by <br />or for you. <br />PB #18526 <br />CG 20 1C 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />Serial #~. 504230 ~ ~./~ _ Page 2 <br />