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<br />POlicy Number: BK02033312 <br /> <br />Owners).. Lessees or Contractors (Form B) <br />ADDITluNAL INSURED <br /> <br />Change(s) Effective: 10/19/05 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. This endorsement modifies insurance policy under the following: <br /> <br />LIABILITY COVERAGE PART: <br /> <br />Schedule <br /> <br />Name of Person or Organization: <br /> <br />GWGC Inc dba Gordon & Williams <br />General Contractors Inc <br />City of Santa Ana <br />2 Faraday <br />Irvine, CA 92618 <br /> <br />SECTION II - WHO IS AN INSURED is amended to include as an insured the <br />person or organization shown in the Schedule, but only with respect to liability <br />arising out of "your work" for that insured by or for you. <br /> <br />Name of Person or Organization: GWGC Inc dba Gordon & williams <br />General Contractors Inc and the City of Santa Ana, its officers, <br />agents, employees, volunteers and program manager. <br /> <br />NOTICE OF CANCELLATION: <br />IT IS UNDERSTOOD AND AGREED THAT IN THE EVENT OF CANCELLATION OF THE <br />POLICY FOR ANY REASON OTHER THAN NON-PAYMENT OF PREMIUM, 30 DAYS <br />WRITTEN NOTICE WILL BE SENT TO THE CERTIFICATE HOLDER BY MAIL. IN THE <br />EVENT THE POLICY IS CANCELLED FOR NON-PAYMENT OF PREMIUM, 10 DAYS <br />WRITTEN NOTICE WILL BE SENT TO THE ABOVE. <br /> <br />PRIMARY INSURANCE: <br />IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY <br />AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED <br />SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS <br />INSURANCE. <br /> <br />WAIVER OF SUBROGATION: <br />IT IS UNDERSTOOD AND AGREED THAT THE COMPANY WAIVES THE RIGHT OF <br />SUBROGATION AGAINST THE ABOVE ADDITIONAL INSURED(S), BUT ONLY AS RESPECTS <br />THE JOB OR PREMISES DESCRIBED IN THE CERTIFICATE ATTACHED HERETO. <br /> <br />,~ \ I <br />,--'" C'l il.., ro <br /> <br />CLlBF 2240 03 95 <br /> <br />.-____.~ .s'A/ <br />-_7 <br />'auf S .---- <br />.~ a LItt Shced" ---." <br />I-\.S,sLstant ('.t j <br />~l Y AttonlCl <br />