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<br />07/08/2001 19:15 <br /> <br />8135504 <br /> <br />CROSSTOWN <br />,:_ 7/6/01 lrmc '1:l3;.56 ~M <br /> <br />PAGE 03 <br />J-'llRC.)V!J <br /> <br />Ff2Rr Terry B~d.. ~09.468-2'H2 fa: Tfll!lIl <br /> <br />POlICY NOM81:"R: GLS682549 <br /> <br />CQMIolUlCIAL GENERAl UAIlIUTY <br /> <br />THIS ENDORHMINT CHANGI"S THE POUCY. PlUlf lEAD IT CAItlf'UU Y. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />This 0"00"''''_1 mod..... """"""'" pmvid.d Un"'" lI'e foIlowlng <br />COMMERCIAl GENI;RaJ. LIABiliTY COVERAGE PAIlT. <br /> <br />SCIlEDUl.t <br /> <br />_oIP_...~, <br /> <br />SEE BELOW: <br /> <br />(I' r1'll' ~nt""lW1:itf~ iIbo'r., irrl"tmilltiOll....qvired to cun.plet. tm er"dor.omQ,.,t ...,,1'1." shQWf'llh rh... Dod.....,tJ(:ln$ <br />a"'llpilcablo 10 'hl> """"semon,,) <br />WHO IS AN INSURED (S~'IQn II) IS amtoded' to inWdt 1'1 .n: insl.I"C<1 t"t Ofr'son or ~rp"iolilttofl iIlo\ln1 in the <br />$chWvI..,...., only with '.""""lI> ~IY ..."l"ll""' Ot "\100' """''' "" lhot .n$lNd by.. for yoo.. <br /> <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers. <br />employees. agents and representatives are named additional insureds. <br /> <br />Coverage is primary <br /> <br />CG 2l>!O lias <br /> <br />Copyrillht. In.unom !jervi<:e. Office, me, 1984 <br /> <br />o <br /> <br />APPROVED AS TO FORM <br /> <br />\.,. <br /> <br />i I <br />/-."'!-/ s (,(/~ 1/' <br />. -' / y.- <br />La U fa Sheedy <br />)Q10ty City Attorney <br /> <br />, <br />r/.k_"T' <br />( <br /> <br />- <br />