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<br />OCT-10-2005 13:47 <br />, <br /> <br />AON RISK SERVICES <br /> <br />o <br /> <br />P.03 <br /> <br />,",olley NUMBER' RTC2J-C0-9494A 136 <br />. ' <br /> <br />l;UMM~Kt,;IAL I.3I::.Nt:Kf\L I..IA~IL.f , T <br />ISSUE DATE: 10/1f.!O05 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ CAREFULLY <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br /> <br />This endQr'$E!ment modifies insurance provide,:!: under thQ following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />ACC()IAccoSlACCOSERl12023 <br /> <br />SCHEDULE ' <br /> <br />Name of Person or Organization: <br />The City afSanta Ana, ~$.officers, agents, employees and volunteers <br /> <br />Location And Description of Completed Operations: <br /> <br />Service <br />This Insurance applies separately to each insured against whom claim is made or suit is brough e iCCept with <br />respect to the company's limits of liability. The indusion of any person or organization as an insunld shall not <br />affect any right VJhich such person or organization MJuld have as a claimant if not so included_ <br /> <br />Additional Premium; <br /> <br />(If no entry appears above, informatbn required to complete this endorsement will be shOWn in the Declarations <br />as applicable to this endorsement.) <br /> <br />Section II - Who is An Insured is amended to include as an insured the person or organization shown <br />in the Schedule. but only with re:lpect to liability arising out of ''your work' at the location designated <br />and described in the schedule of this endorsement performed for that insJred an induded in the <br />"products-completed operations hazard", <br /> <br />1\.':; 1'0 FORM <br /> <br />, ,/" / <br />.7;;;5 ::~, 1 <br />')l~lt Sheedy <br />i Citv Attorney <br /> <br />CG2037 1001 <br /> <br />Copyright. The Travelers Indemnity Company <br />