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I <br />FROM FITNESS AND WELLNESS INSURANCE (MON) JUN 20 2005 12:021T.'2:00/No.6820420804 P 2 <br />POLICY NUMBER: EOL9012328-01 COMMERCIAL GENERAL LIABILITY <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 <br />SCHEDULE <br />Name of Person or Organization; CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section ll) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work' for that insured by <br />or for you <br />10 r—ORAQ <br />CG 20 10 1185 Copyright. Insurance Services Office, Inc., 1984 <br />Certificate 0 22764 <br />