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POLICY NUMBER:GL3446469 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE AOLICY. PLEASE READ IT CAREFULLY. <br />ADDlT10NAL INSURED - 01NNERS, LESSEES OR <br />CONTRACTORS (FORM B} <br />This endorsemenf modifies insurance provided under the folEowing: <br />COMMERCIAL GENERAL LEA81LiTY COVERAGE PART <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 il) is amended to include as an insured the person or organizafian shown in the <br />Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. <br />PRIMARY INSURANCE: It is agreed that such insurance as is afforded by this policy for the benefit of <br />the persons or organizations as listed above shall be primary insurance as respects any claim, lass or <br />liability arising directly or indirectly from the insured's operations, and any ofher Insurance or self- <br />insurance maintained by such persons or organizations shall be noncontributory with the Insurance <br />provided hereunder. <br />As T4 ~OR~ <br />yEv <br />4~ <br />~ C~ _ ~oacK <br />LISP ti• ' ~~oYney <br />Assis~an~ Cyt`1 <br />,~ <br />CG 2010 11 85 Copyright, Insurance Services Office, Inc. 1984 <br />