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Policy Number: BKO1778867 <br />Owners Lessees or Contractors (Form B) <br />ADDITibNAL INSURED <br />Change(s) Effective: 04/27/06 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. This endorsement modifies insurance policy under the following: <br />LIABILITY COVERAGE PART: <br />Schedule <br />Name of Person or Organization: <br />City of Santa Ana <br />Attn: Tonia Zerba <br />20 Civic Center Plaza, Ross <br />Annex M-20 <br />Santa Ana, CA 92702 <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 />Schedule Contd: The City of Santa Ana, its officers, employees, <br />agents, volunteers and representatives. <br />CL/BF 22 40 03 95 <br />