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<br />0S/0S/2001 11:05 <br /> <br />552944377S <br /> <br />WILKINSON <br /> <br />PAGE 03 <br /> <br />, . <br /> <br />'. <br /> <br />NAMED INSURED: <br />POLICY NUMBER: <br /> <br />James H. Russell & Sons,lne. <br />SCP038440& <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />TIllS ENDORSEMENT CHANGES THE POLlCY, PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES or <br />CONTRACTORS (FORM B) <br /> <br />Thi~ endorsement modifies insurance provided under lhe roltawing; <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization <br /> <br />'See Below <br /> <br />(I(no entry appears abovel information required to compl~te this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) Is amended to include as! an insured thlE person or organization shown in the <br />Schedule, but only with respect to liabiUty arising out of "your work" for that insured by or ror you. <br /> <br />'I) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its <br />officers, employees, agents, volunteers and representatives are named as additional <br />insureds (additional insureds') with regard to liability; and defense of suits arising from <br />the operations and uses performed by; or on behalf of the named insured. <br />2) With respect to claims arising out of the operations and uses performed by or on behalf <br />of the named insured, such insurance is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insured. <br />3) This insurance applies separately to each insured against whom claim is made of suit is <br />brought except with respect to the company's limits of liability, The inclusion of any <br />person or organization as an insured shall not affect any right which such person or <br />organization would have as a claimant if not so included. <br />4) With respect to The City of Santa Ana, and except for non'payment of premium this <br />insurance shall not be cancelled, or materially reduced in coverage or limits except after <br />thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center <br />Plaza, Santa Ana, California.92701 <br /> <br />C020 10 1185 <br /> <br />Copyright, Jnsuuoce Services om". Inc., 1984 <br /> <br />APPROVED AS TO FORM <br />4r~ <br />CRIST NE LEE SHAW <br />Deputy City Attorney <br />