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JUL:O1-04 09:32 FROM -MILESTONE RISK MANAGEMENT AND INSURANCE +7148520909 •-g64 P 03/r,; <br />COMMERCIAL GENERAL LIFE' <br />Policy Numoer: 660529X380104 <br />Carrier: Travelers Indemnity Co. of CT <br />Expires. 7-1-2005 <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 Person or Organization: <br />The Ctry of Santa Ana, 20 Civic Center Plaza Santa Ana CA 92701, its officers, employees, agents. an <br />representatives. <br />PO Box 1986 <br />Santa Ana CA 92702-1988 <br />RE City of Santa Ana's Community Development Block Grant <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declaration:� <br />as applicable to this endorsement) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in in, <br />Schedule, but only with respects to liability arising out of 'your work" for that insured by or for you <br />Any aggregate limits apply on a per project basis. <br />The insurance afforded to the Additional Insured is primary. If the Additional Insured has other insurance <br />Which is applicable to the loss on an excess of contingent basis, the amount of the company's liability una�- <br />this policy shall not be reduced by the existence of such other insurance. <br />CG 20101185 Copyright Insurance Services Office, inc 1984 <br />