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<br />, 93111/2003 14:34 ~~ <br />------ <br /> <br />. <br /> <br />GOLDEN EAGLE INSURANCE 4IIl <br /> <br />~002 <br /> <br />ADornONALINSURED-OWNERS, LESSEES <br />OR COKfRACTORS (FORM B) <br /> <br />Polley No: CBP9667121 <br /> <br />ADDmONAL II\ISURED . OWNERS, LESSEES <br />OR CONTRACTORS (FORM 8) <br />_ THIS ENDORSEMENT l:IlANG_I;SIIlE POUCY. PLEASE! READ IT CAREfULLY. <br /> <br />Polley No: CBP9667121 <br /> <br />This endorsement modifies i11surance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABIUTY COVERAGE PART <br /> <br />WHO IS AH INSU;U:O (Section 11) is amended to include as an Insured the persorl or organization shown In the <br />Schedule, but only with respect to liability arising OUl of "your work" for that Insured by or for you. <br /> <br />The coverage afforded the additional Insured does not apply to ilny proje..t on wh~h "yoUr work" was completed <br />;;or:;;;:.!.:.: ~:= :'ff;:~~""'~ ":"~ ~t.~!5 ~~t:'n;;"'m@nt. <br /> <br />~~I-IFnlllW; <br />City of Santa Ana, its officers and~ernployees <br /> <br />CG 20 10 (1'''5) .,odln... <br />GECG 801 (100\18) <br />