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POLICY NUMBER: CS00218051 <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 />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY <br />SCHEDULE <br />Name of Person or Organization; <br />City Of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work' for that insured by or <br />for you <br />Additional Insured(s): The City of Santa Ana, its otticers, employees, agents, volunteers and representatives, With respect to claims <br />arising out of the operations and uses performed 6y or on behafl of the named insured, such insurance as is attorded by this policy is <br />primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured, are added as <br />additional insured in regards to the operations of the insured. <br />CG 20 1011 85 Copyright. Insurance Services Office, Inc., 1984 Page 1 of 1 <br />