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POLICY NUMBER: 126 -0437 ENDORSEMENT <br />Insured: Paulus Engineering, Inc. <br />COMMERCIAL GENERAL <br />CG 20 37 10 01 <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 />Blanket— "As required by written contract ". <br />This endorsement applies to work performed on Commercial projects only and excludes any and all "Residential <br />Structures" work as defined by LX9911 (02106) on this policy . <br />Name of Person or Organization: <br />City Of Santa Ana, its officers, employees, agents, volunteers and representatives <br />Location And Description of Completed Operations: <br />Santa Ana Emergency Work. <br />Premium: NIA <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />Section it — 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 designated and described in <br />the schedule of this endorsement performed for that insured and included in the "products- completed operations <br />hazard ". <br />CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 ❑ <br />LX9604 <br />