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<br />II <br /> <br />'-~ ...- <br /> <br />2~~'2':'; <br /> <br />::::':;1 c:-; ':-!5 E:"SJCiT:RS:. <br /> <br />?:~ ~S~ ~~S2 ~: 6L?S~~~ <br /> <br />~'. 22.<:2 <br /> <br />. ~' <br />~;ioY Hum!;>.': 02 C~;E T1 0004 gr..oliva Oilt.: 01-01-2003 <br /></ <br />N.mad Insured .,nd ~,ddr.ss; unltEKl Technololli.$ Corporallon <br />OM Flnanelal pla2a <br />Hartford, CT. 06101 <br /> <br />.', <br /> <br />Endt Ho, <br /> <br />--.- <br /> <br />THIS ENnOnSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED. OWNERS, LESSEES OR <br />CONTRACTORS <br /> <br />this endOfSOOlen' m(oIO~$ln$\lranc. provided under the following: <br />COMMERCIAL GIONER.Al. LIABiliTY INSURANC~ POLICY <br /> <br />$CHEOOULE <br /> <br />Name or Penion Ilr '~i9anl%.Uon; CONTRACT NO.: SAN 520B <br /> <br />THE CITY OF S.ArjT ll. ANA, ITS OFFICE:RS, AGENTS, vOlUNTI'ER$ AND EMPLOYI'ES <br /> <br />The innuranee arr. '''!$d by this policy for the additionallMured(sl Is primary Insurance and any olher inSurance <br />maintained by or ,",;oll.bln t;) Ihe addlUanallnsured(sl I. non~Qnlribl.l\ory. <br /> <br />WHO IS AN IN:;;VI1EiO (SooIlon II) I. ~mendod \0 Include as an Insured l11e parnan or organlUlllon shown <br />In Ih. Schedule, b.ll .,nly with re$ped to liability e,lsing out of 'your wQrk' for thalln.ured by or for you. <br /> <br />For ,!,e p~rpQ.es "f lhi. endorsement, 'you' shall ref~r to Otis Elevator Comp~Oy and il$ subsidiaries. and 'your <br />work shall mean '.., ock perfcrmed by or for Olis Elev.tQr oompany end lIS s~.l>Jlldlarles. <br /> <br />~0;/d--- <br /> <br /> <br />, ,',../.,].,.... <br /> <br />Page 1 of 1 <br /> <br />Form OT 53 241:1 (Ed 01/03) <br /> <br />Q 2003, ThO Hi.lrt1'ord <br /> <br />(Includes copyrighted mstMial of '''nurance Services Office <br />with lis permIssion. Copyright, losm.nce. Services Office. Inc., ~003) <br /> <br />HJ 3:)\;',.1 <br /> <br />:;~:C93JIN"ljr-l-:S~~'\.>i <br /> <br />L~L9SU.G"8 <br /> <br />S8'8, v08l/T1/lg <br /> <br />-r,"""",'" r>~..~- r.., ".c",' <br />