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1., -4. <br />_.IC M. FF.SM: .u,,_xes In_i. mn-e 7 eNh. D. <br />Waite_., _ *. a4, i <br />POLICY NUMBER: CBP9708503 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS SCHEDULED PERSON OR <br />ORGANIZATION <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, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES <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 <br />organization shown in the Schedule, but only with respect to liability arising out of your ongoing <br />operations performed for that insured. <br />OVEfe'�S TO FORM <br />IO W. FLET HER <br />CITY ATTORXEY <br />CG 20 10 03 97 Copyright Insurance Service Offices; Inc., 1996 <br />