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'!'34/2007 10:50 8059559535 ARROW INS SERVICE PAGE 02/02 <br />?SCI -ICY NUMBER: PSA1100154-3 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED --OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />>� m.ernent modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />,.y f Santa Ana its officers, employees, agents, volunteers and representatives. <br />�-'y avPears above, information required to complete this endorsement will )e <br />ir�r in the declarations as applicable to this endorsement.) <br />�AJHO IS AN INSURED (Section 11) is amended to include as an insured the person or <br />- ryanzaticn shown in the schedule, but only with respect of liability arising out of your <br />,^)cing operations performed for that insured. <br />:.v 2010 10/93 Copyright, Insurance Services Office, Inc., 1992 <br />