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<br />OCT-10-2005 13'47 AON RISK SERVICES <br />'pdUCY NUMBER: RTC2J-C0-9494A 136 <br /> <br />o <br /> <br />P.03 <br /> <br />l;UMMcKl;'AL {;cNt:KAL ~IAI:jI~ll T <br />ISSUE DATE: 10111.1005 <br /> <br />( <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ CAREFULLY <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br /> <br />Thl. endorsement modifi... insurance provided under the following: <br />COMMERCIAL GENERAL !-IABILlTY COVERAGE PART <br /> <br />ACC()/AccoS!ACCOSeRl12023 <br /> <br />SCHEDULE <br />, , <br /> <br />Name of Person or Organization: <br />., .. "", 'The CityofS~nta Ana. ~,OtHcers. agents. employees andvolunte~'$ <br /> <br />;'1 <br /> <br />LocatiQn And Description of Compl'1ted Operations': <br /> <br />(--~ Service <br />. ' ihl$lnsuranoe applies sspilrately to each insured against whom claim is made or sui! is brough s<ceptwilh <br />respset k> the company's limits of lIabiUly. The inClusion 01 any person 0, o,ganlzation as an insuOld shall not <br />affect any right whIch such person or organIzation WOUld have as a claimant if nct so Induded_ <br /> <br />Additional PrEII:nium: <br /> <br /><If no entry appears above. informatj,~11 required to complete this endorsement will be shown in the Declarations <br /><1$ <lppliceble to this endorsement.) <br /> <br />Section II ~ Who is An Insured is amended to include as an insured the person or organization shown <br />in the Schedule. but only with respect to liability arising out of "your work' at the location designated <br />and described in the schedule of this endorsement performed for that ins:Jred an included in the <br />.products-completed operations hazard". <br /> <br />", i'ROVBD AS TO FORM <br /> <br />____~ 2/1 <br />."~j a Stitt Sheedy <br />~1..;,~..)lant City Attorney <br /> <br />CG 20371001 <br /> <br />Copyright. The Travelers: Indemnity Company <br /> <br />1 <br />