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<br />. <br /> <br />. ~~~v F!T~ESS AND WELLN~SS INSURANCE <br /> <br />\ T H 'J) MA '" 9 2 C Li G 1 -l C, B /'; I 1 4 I~ -;' /I'J '-' F f< '2 (4::' n" 8 ':' p <br /> <br />POLICY NUMBER EOL9012327-01 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED-OWNERS, LESSEES OR <br />CONTRACTORS (Form B) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization; The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <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 /> <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 /> <br />Primary and noncontributory <br /> <br />~~ <br /> <br />CG20 10 1185 <br /> <br />Copyright. Insurance Services Office, Inc, 1984 <br /> <br />Certificate # 37082 <br /> <br />