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<br />Nov-Z4-04 <br /> <br />I -21al Fro.-ACCO SERVICE OPERATIONS <br /> <br />+1S1824m41 <br /> <br />T-IOQ p_ 003/005 F-2B4 <br /> <br />, ~ouc'( HIJMBi:R: ATC2J-CQ.9494A136 <br /> <br />COMMERCIAl. GENERAL UABILI1'V <br />ISSUE DATE: 101112004 <br /> <br />-/ <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY, pLEASE READ CAREFULLY <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br /> <br />TNs 0I1d ",om..,1 modlflOllIMu"nco pmYklIl<1 uncf9r lh, fOllOwing: <br />COMMERCIAL GENERAL UABILIlY COVERAGE PART <br /> <br />jI.CCO/..........ACC06E:RI6S31 <br /> <br />SCHEDULE <br /> <br />Name Of Person or Organization: <br /> <br />ThE' ( I~ 01 Santa Ana, lis omOQrs. EmployeDs, Agllf1ts snd Rap,QlIonlBtives are namgd as Addlllonal <br />IMIJI't d~;. <br /> <br />I <br /> <br />Local 011 And Description of Compleled Operations; <br />Cill' a s...ta Ana_ 20 Civic Con.r P~. Sllnta An., CA <br /> <br />'--, <br /> <br />Addii anal Premium: <br /> <br />(rt no . -n1ry appears abov9, information re(juired to complete this endorsement will be shown In the Declarations <br />as apI licable to this eodonoemenl) <br /> <br />Sacti m 11- Who is An Imoured is amended to include as an insured the person or organi;l:alion shown <br />in iiI< Schedule, but only with respect to liability arising out of ''your work" at the location designated <br />and C 3~aribed In the scl1edulQ of thls endorsement performed for that insured an Inoluded In the <br />"prcd ICt$-oompleled opEOration!J hazard". <br /> <br />-.----- <br /> <br />6E:\'E \A llL1TY OF INTEREST <br />It is ", ree'll thOl1llo above policy <:ontalns a $t.1",",1d cross liability or .._Ity of into...l claLlSO. <br /> <br /> <br />AI:n;~ ~l <br />/dlt/P;~ <br /> <br />CO 2( ,.7 1~1 COJ';rt~" Th.Tro_'~Comp.ny ,/C5~-ei/ ::>-/3 <br />