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,-__-_.Ci;TIE) 16;05 <br />P OOd/DDd <br />PRIMARY INSURANCE ENDORSEMENT Policy No. CBP8153216 <br />TWIS ENDORSEMENT CHANGES THE POLICY, PLF-.4SE READ IT CAREFULLY <br />This endorsement modifies the following policy coverage forms: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM <br />Endorsement No. (If issued after the effective date): <br />Endorsement Effective: 0512y200T <br />(N I)'lll AM. $Lllbitl'fMe( <br />Named Insured: CCN, USA LLC <br />The insurance provided by this policy for the benefit of the Additional Insured shown in the Schedule shall be <br />primary Insurance as specifically described in: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 0001 <br />Section IV Commercial General Llahlllty Conditions, <br />4. Otherlnsurance <br />a Primary Insurance <br />SCHEDULE <br />game of Person or Organization: <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES AGENTS AND <br />REPRESENTATIVES <br />888 W. SANTA ANA BLVD, #Z00 <br />SANTA ANA, CA 92701 <br />~~~ <br />- x sra 4+~°3TI <br />