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<br />COMMERCIAL GENERAL LIABILITY <br /> <br />Inured: Centennial Heritage Museum <br />Company: Hartford Casualty Ins. Co. <br />Policy Number: 57SBAAV8856 <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 COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person of Organization: <br /> <br />City of Santa Ana <br />Community Development Agency M-25 <br />P.O. Box 1988 <br />Santa Ana, CA 92702.1988 <br /> <br />(If no entry appears above, the information required to complete this endorsement will be <br />shown in the Declarations as applicable to this endorsement) <br /> <br />WHO IS INSURED (Section II) is amended to include as an insured the person or <br />organization shown in the Schedule but only with respect to liability arising out of .your <br />work" for that insured by or for you. <br /> <br />IT IS HEREBY AGREED THAT THIS INSURANCE IS PRIMARY AND NON- <br />CONTRIBUTORY WITH ANY OTHER INSURANCE THE ADDITIONAL INSURED MAY <br />CARRY. <br /> <br />CG 201011 85 <br /> <br />AlTRavED ¡\S TO FORM <br /> <br />-~ ..A//¿/;;¿ <br />~l'ši,:'::;~~--- <br />A""""L ~IlY ¡"""",ey <br />