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POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br />CG 20371001 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — OWNERS, LESSEES OR <br />CONTRACTORS — COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />20 Civic Cantor Plaza - Rosa Annex (M -36) <br />Santa Ana, CA 92701 <br />Location And Description of Completed Operations: <br />All, where required by contract prior to loea. <br />Additional Premium: <br />lncludad <br />(If no entry appears above, information required to comolete this endorsement will he chnwn in the r7eCla ratinnc ac <br />applicable to this endorsement.) <br />Section II —Who Is An Insured is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" at the location designed and described in the <br />schedule of this endorsement performed for that insured and included in the "products- completed operations <br />hazard'. <br />APPROVFp qs -�-� ��RM <br />`'__'c�� —y� <br />Laura Suit Sheedy <br />Assistant City iittorne <br />Y <br />CG 20 37 1O 07 ©ISO Properties, Inc., 2000 Page 1 of 1 <br />