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POLICY NUMBER: EOL9012327 -01 <br />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 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 />APPROVFO AS TO FORM <br />..aura Stitt Speedy <br />� „istant City Attorney <br />CG 20 10 11 85 Copyright. Insurance Services Office, Inc., 1984 <br />Certificate # 23013 <br />