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POLICY NUMBER: B2082828476 COMMERCIAL GENERAL LIABILITY <br />CG20101093 <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; <br />Planning Division <br />P. O. Box 1988, M-20 <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 ongoing operations <br />performed for that insured. <br />CG20101093 <br />