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POLICY NUMBER: PSA1100154-2 COMMERCIAL GENERAL LIABILITY <br />CG 20 10 10 93 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED --OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <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, ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS <br />AS ADDITIONAL INSURED. <br />(If no entry appears above, information required to complete this <br />endorsement will be shown in the declarations as applicable to this <br />endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the <br />person or organization shown in the schedule, but only with respect to <br />liability arising our of your ongoing operations performed for that <br />insured. <br />CG 20 10 10 93 Copyright, Insurance Services Office, Inc., 1992 <br />