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Si. <br />C orporatioti <br />AW %ir,n awr o! I owrrt titmi.al ;.rd iiv <br />Liberty Surplus Insurance Corporation <br />Commercial General Liability <br />LIBERTY SURPLUS INSURANCE CORPORATION <br />(A member of Liberty Mutual Group) <br />ENDORSEMENT NO. 7 <br />Effective Date: 06/03/2009 to 06/03/2010 <br />Policy Number: DGL-SF-184783-037 <br />Issued To: CROSSTOWN ELECTRICAL & DATA, INC. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - <br />COMPLETED OPERATIONS <br />SCHEDULE <br />Name of Person or Organization: <br />THE CITY, CITY OF SANTA ANA, ALONG WITH ITS AUTHORIZED AND APPOINTED OFFICERS, OFFICIALS, <br />AGENTS, EMPLOYEES AND VOLUNTEERS ARE LISTED AS ADDITIONAL INSURED AS REQUIRED PER WRITTEN <br />AGREEMENT. <br />Location and Description of Completed Operations: <br />MAINTENANCE OF CITY OF SANTA ANA (1315) <br />ku no entry appears anove, mormauon required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />Section II - Who is An Insured 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" at the location <br />designated and described in the Schedule of this endorsement performed for that insured and <br />included in the "products -completed operations hazard". <br />CGL 1038 1103 Page 1 of 1 <br />