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<br />~/07/~305 11:47 <br /> <br />7145729880 <br /> <br />LPL INSURANCE <br /> <br />PAGE 02 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CG 20 10 1093 <br /> <br />ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (FORM B) <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />This endorsement changes the policy effective on the inception date of the Iicy unle~ another date is indicated below <br /> <br />Endorsement tive Policy No/ I <br />41112005 A 1 72SBAK92W <br /> <br />Named Insured Countedig d by , <br />GENERAL I..EARNING CI)MATES <br /> <br /> <br />(Authoriz~d R,cprl::~cnt:alivc) <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS. <br /> <br />(If no entry appears above, information required to complete this endorsement wili be shown In the Declarations as <br />applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to Include as an insured the person or organization shown in the Sched. <br />ule, but only with respect to liability arising out of your ongoing operations performed for that insured. <br /> <br />APPROVED AS TO FORM <br /> <br />'_. J <br /> <br />Laura Stitt Sheedy <br />/\S:>istallt City Allnrfwy <br /> <br />Copyright, Insurance Services Office Inc., 1992 <br />