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<br />6/17/02 3:21 PM <br /> <br />1-510-452-2193 <br /> <br />17146476515 <br /> <br />003 <br /> <br />. <br /> <br />Policy Number: 7RE79063101 <br /> <br />OwnersbLessees or Contractors (Form B) <br />ADDITI NAL INSURED <br /> <br />Change(s) Effective: 06/17/02 <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. 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 />City of Santa Ana <br />20 civic Center Plaza <br />Santa Ana, CA 92701 <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 />Re: City of Santa Ana The City of Santa Ana, its officers, employees, <br />agents, volunteers and representatives are named as additional insured <br />as respects general liability for claims arising from the operations <br />of the named insured. <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 />~ro FORM <br />ISTI LE~;;- <br />Oiputy City Attorney <br /> <br />CWBF 22 40 03 95 <br />