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7144i39Ei524 AM TFJH Hevahx ~crvi 13 32 61 0612 2D0/ 212 <br />Policy Number: 02 CSE T10004 Effective Date: 0 4101 /20 0 7 ' <br />Named Insured and Address: UNITED TECHNOLOGIES CORPORATION <br />ONE FINANCIAL PLAZA <br />HARTFORD, CT 06101 <br />Endt. No. <br />THfS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS <br />This endorsement modifies insurance provided under the follov4ng: <br />COMMERCIAL GENERAL LIABILITY INSURANCE POLICY <br />SCHEDULE <br />Name of Person or Organization: CONTRRCT NO' DVB-06416 <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />WHO IS AN INSURED {Section IIJ 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" }or that insured by or for you. <br />nor the purpose of th~s endorsement, "you° shall refer to Otis Elevator Company d/Wa Amtech Elevator Services, <br />and "your work" shall mean work performed by or for Otis Elevator Company dlb/a Amtech Elevator Services. <br />h.:~~ RfIV~~lli~A''S 'I'l/~ I~O1tM <br />rare 1t.t! 51.,;zw <br />..,::Ie^i l,iry ACi OT-C~' <br />Form GT 53 2413 (ED 01/03) <br />O 2003, The Hartford <br />Page 1 of 1 <br />(Includes copyrighted material of Insurance Serv:~ces Office <br />with its permission. Copyright, Insurance Services Office, Inc.. 2003 ) <br />