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<br />D",re (MWDOiYYY <br /> <br /> <br />This Endorsement Changes The Policy. Please read it carefully. <br /> <br />ADDITIONAL INSURED BLANKET PRIMARY <br /> <br />This endorsement modifies insurance under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SCHEDULE <br /> <br />Name ot Person or Organization: <br />The City of Santa Ana, its Officers, Agents, and Employees <br /> <br />AE: Various Street Corners, 305 East Fourth Street, Santa Ana CA <br /> <br />Any person or organization to wham or to which you are obligated by virtue of a written contract or by the issuance or <br />existence of a permit, to provide insurance such as is afforded by this policy. <br /> <br />(If no entry appears above, information required to complete this endorsement wiIJ be shown in the Declarations as <br />applicable to this endorsement.) <br /> <br />SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the <br />SCHEDULE, but only with respect to iability arising out of "your work" for that insured by or for you. <br /> <br />If you are required by a written contract to provide primary insurance, this policy shall be primary as respects your <br />negligence and SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance does not apply. <br />but only with respect to coverage provided by this policy. <br /> <br />.~ <br /> <br />IIflI!-Úidj 2b <br /> <br />'. <br /> <br />'" <br /> <br />.~-~ . <br /> <br />.. <br /> <br />-.. <br /> <br />This endorsement effective 12/31/2003 <br />lorms part of Policy Number LHA 125187 <br />issued to <br /> <br />.88 <br /> <br />RSUI15001 0903 <br />(CG2010 1185) <br />