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<br />t <br /> <br />MaY.14, 2004 ¡0:29AM <br /> <br />No,2956 <br /> <br />p, 6/7 <br /> <br />POLICY NUMBER: BK01893708 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THiS ENDORSEMENT CHANGES THE-POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED-OWNERS, LESSEES OR <br /> <br />CONTRACTORS (Form B) . <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />Name of Person or Organization; <br /> <br />SCHEDULE <br /> <br />THE CITY OF SANTA ANA <br />PO BOX 1988 M-26 <br />SANTA ANA, CA 92701 , <br /> <br />.,. <br /> <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 /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liabilitY arising out of "your work' for that insured by <br />or for you <br /> <br />~ <br />7 <br /> <br />;0-- <br /> <br />CG 20 10 11 85 <br /> <br />Copyright. Insurance Services Office, Inc., 1984 <br /> <br />Certificate # 24973 <br />