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POLICY NUMBER: EOL9012327 -00 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 Recreation <br />ITS OFFICERS, AGENTS, EMPLOYEES <br />REPRESENTATIVES & VOLUNTEERS <br />888 W. Santa Ana Blvd. <br />Santa Ana CA 92702 <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 II) 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 />APPROVED AS TO FORM <br />/3 <br />1,au1 a Stitt )hccdy, <br />A,m >tani City Attorncy <br />CG 20 10 1185 Copyright. Insurance Services Office, Inc., 1984 <br />Certificate # 17408 <br />