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RUG-30-200d 13:d9 SPECTRUM RISK MGMT Policy #04GLP1005236 Evanston Ins. Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERSI LESSEES OR CONTRACTORS (FORM C) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana its officers, employees, agents and representatives Rs: Steam Clean & Pressure Wash Services for Downtown Santa Ana AS PER WRITTEN CONTRACT If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. WHO IS INSURED (Section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability rising out of ''your work" for that insured by or for you. It is further agreed that such insurance as is afforded by the policy for the benefit of the Additional Insured shown shall be primary insurance, and any other insurance maintained by the Additional Insured shall be excess and non-contributory, but only as respects any claim, loss or liability arising out of all the operations of the Named Insured, and only if such claim, loss or liability is determined to be SOlely the negligence or responsibility of the Named Insured. This coverage is limited to "your work" completed within ihe policy year. "Insureds are advised that certificates of insurance should be used only to provide evidence of insurance In lieu of an actual copy of the applicable Insurance policy. Certificates should not be used to amend, expand, or otherwise alter the terms of the actual policy" IC02260501 c0~/J0~ P.02/02