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<br />, <br />I <br /> <br />// <br /> <br />~::2 .:.:- 2~~'2~ ~S:'51 t:"F ':'":'15 E:"'E.jyT.:R~. <br /> <br />7:~ ~S~ SE52 7~ 6~?S~;~ <br /> <br />2.0:2/22 <br /> <br />~;i~:f Huml:>er. 02 CSE T1 0004 l".r:.~tiVi Cat.: 01-<11-2003 <br /> <br />Namod Insured .Ind ~,ddr.s", Ul\lt~ Tochnolollies Corporation <br />OM Flnan~lal plaZa <br />Hartford, CT. 06101 <br /> <br />" <br /> <br />Endt No, <br /> <br />---- <br /> <br />THIS ENnOHSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS <br /> <br />Thi! endOrliWlen' m(~lfie$lnS\lranc. provided under the fallowing: <br />COMMERCIAL CIONERAL LIABILITY INSURANCE POLICY <br /> <br />SCHeiOUI.E <br /> <br />Ham. of Parson I)r '~i9anl=.tJon: CONTRACT NO.: SAN 5208 <br /> <br />THE CITY OF S.ArjT ll. ANA, ITS OFFICi:RS, AGENTS, VOLUNTeeRS ANO EMPLOyges <br /> <br />The inslIrance arr. ,((led by this po\lcy (or the addilionallneurad(S) Is primary Insurance and any other Insurance <br />rnainlalned by or "''''lIable to Ihe addlUonallnsurad(5lls non-<:onlribu\ory. <br /> <br />W,IO IS AN INSUI1EiO (Soo1lon 11) Is amenclod 10 Include as an Insured the pe",on ororganizallon shown <br />In tho Schedule, b.ll ,'nlywlth ro$pec:! to liability orlsin9 oul of 'your worx' for that Insured by or for you, <br /> <br />For the purpons ." 1/11. ~ndQrsemenl, 'you' "ha\l roler to aus Elevator Company pnd lis subsidiaries. and 'your <br />work' shall mean work perfcrmed by or (or Otis Elevatl,lr company and Its s!l\>}lldl.rlllS. <br />- , <br /> <br />l ; "....((.: \i_. _" <br /> <br />~;z, '" ,;;z/~__ <br />. ',-' <br />-'"_ ._' ..__c. .~. .', ~,,;, ,. .," ,r.)'/ <br />. '.... -, ~ . <br /> <br />p.ge 1 of1 <br /> <br />Form OT 53241:1 (Ed 01/03) <br /> <br />Q 2003, TM Hartford <br /> <br />(Includes copyrighted m21~rlaJ of Insurance Services Office <br />wllh lis pennlssion, Copyright, Insur.once Services Office, Inc., :;l003) <br /> <br />W 3;)~d <br /> <br />3~:C93:)!NiJr-HSti?~1 <br /> <br />L~L9SiWi,8 <br /> <br />S8:81 v9GZ/11/Z0 <br /> <br />..............-,." ,.,~.,'""- r.., ~":'~' <br />