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CROSSTOWN ELECTRICAL & DATA, INC. <br /> <br />POLICY NUMBER: GLS683660 COMMERCIAL GENERAL UABILITY <br /> <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREF~ILLY. <br /> <br /> ADDITIONAL INSURED -- OWNERS, LESSEES OR <br /> CONTRACTORS (FORM B) <br /> <br />This endorsement modifies insurance provide~l under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />Name of I~emen or Orlianizatlen: <br /> <br />SCHEDULE <br /> <br /> City of Santa Ana <br /> 20 Civic Center Plaza <br /> Santa Ana, CA 92702 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shewn in the Oeclaratlon$ <br />as a~plicable to this er~seme~t.) <br />WHO IS AN IN~[URED (Section ri) is amended to include es en insured the person Or orl[anization ~;,hown in the <br />Schedule, ~J! only with respect to liability arisld~ out of '"yo~r work" for ti'~t ir~$[Jred by or for yOU. <br /> <br />CG 20 10 11 85 <br /> <br />Copyright. Insurance_ServiCes Office, Inc,, ]984 <br /> <br />[3 <br /> <br />Crosstown - CityStaAna 02_03.max <br /> <br /> <br />