Laserfiche WebLink
A 12/15/2004 00:07 9492639233 ACI INS AGENCY PAGE 02 <br />POLICY NUMBER: TBA COMMERCIAL GENERAL LIABILITY CG 20 10 10 93 <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 PART <br />SCHEDULE <br />Name of Penon or Organization: THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CALIFORNIA 92701; <br />ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES ARE NAMED AS <br />ADDITIONAL INSUREDS WITH REGARD TO LIABILITY <br />AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF <br />OF THE NAMED INSURED. <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO 1S AN rNSURED (Section 11) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out ofyour ongoing operations performed <br />for that insured. <br />Such insurance as is afforded by this policy is primary and is not additional to or contributing <br />with any other insurance carried by or for the benefit of the additional insureds. <br />CG 20 10 10 93 Copyright, Insurance Services Office, Inc.. 1992 Page I of 1 <br />