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POLICY NUMBER: GL 2057247647 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 I?ART <br />SCHEDULE <br />Name of Person or Organization: <br />~~ITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES <br />(if no entry appears above, information required to complete thi:; <br />=ndorsement will be shown in the Declarations as applicable to this <br />endorsement.) <br />`AHO IS AN INSURED (Section 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 #11972 <br />CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1989 <br />Serial #: 506062 Page 2 <br />